Individual provider Active NPI

Benjamin Freemyer, MD

  • Dermatology Physician
  • Colorado Springs, CO
National Provider Identifier
1326545328
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0070029 Issued in CO
Practice address
9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone
(719) 355-1585
Fax
(719) 623-2983
NPI assigned
Apr 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 024277 TX
Student in an Organized Health Care Education/Training Program 390200000X T5316 TX
Dermatology Physician 207N00000X DR.0070029 CO Primary

Addresses

Primary practice location

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023

Mailing address

9348 Grand Cordera Pkwy Ste 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230410002693 CO Practitioner - Dermatology 2769858745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9348 Grand Cordera Pkwy
Suite 160
Colorado Springs, CO 80924-7023
Phone (719) 355-1585

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
86.72
Promoting interoperability
100
Improvement activities
40
Cost
72.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision19
Removal of skin lesions503
Removal or shaving of skin growth1-10
Skin biopsy322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0070029COMDDermatology Physician
024277TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanguard Medical Specialists, LLC Dermatology CurrentSince Jul 31, 2023 Accepting new patients
Vanguard Medical Specialists LLC Dermatology CurrentSince Jul 31, 2023 Accepting new patients
Vanguard Medical Specialists, LLC Dermatology Past Accepting new patients
Vanguard Medical Specialists LLC Dermatology Past Accepting new patients

Locations

109 Latigo Ln
Ste F
Canon City, CO 81212

1175 S Perry St
Ste 220
Castle Rock, CO 80104
Phone (303) 688-5025

2620 Tenderfoot Hill St
Ste 110
Colorado Springs, CO 80906

6215 Corporate Dr
Ste 1O1
Colorado Springs, CO 80919

13492 Bass Pro Dr
Ste 100
Colorado Springs, CO 80921

9348 Grand Cordera Pkwy
Ste 160
Colorado Springs, CO 80924

6215 Corporate Dr
Ste 101
Colorado Springs, CO 80919

5700 N Elizabeth St
Pueblo, CO 81008
Phone (719) 543-1111

5700 N Elizabeth St
Ste 160
Pueblo, CO 81008

41 State Highway 67
Unit B
Woodland Park, CO 80863

Interoperability endpoints

  • Direct secure messaging: benjamin.freemyer.p1@direct.vanguardmed.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1326545328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9348 GRAND CORDERA PKWY STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247023",
            "telephone_number": "719-355-1585",
            "fax_number": "719-623-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMYER",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-07",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "024277",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T5316",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0070029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.