Todd Charles Becker, M.D., PH.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

DR-51006 Issued in CO

Practice address

2600 30TH St Ste 100
Boulder, CO 80301-1237

Phone

(303) 444-0664

Fax

(303) 440-3315

NPI assigned

Dec 17, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Emory University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Dermatology of Boulder Creek LLCGroup PAC ID 8921306762, 5 clinicians

On Site Dermatology of Colorado PLLCGroup PAC ID 7315188935, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

21.84 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

72.81

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2831/brand/1/csg/1/fhir/r4

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.

• Integrated Dermatology of Boulder Creek, LLC

  • Dermatology Physician
  • Boulder, CO
  • NPI 1790145183
  Medicare reassignment Care Compare group NPD
• On Site Dermatology of Colorado PLLC

  • Dermatology Physician
  • Salida, CO
  • NPI 1073856050
  Medicare reassignment Care Compare group NPD
• Dermatology Center of the Rockies

  • Dermatology Physician
  • Longmont, CO
  • NPI 1538449558

  Mohs-Micrographic Surgery

  Medicare reassignment NPD
• Boulder Valley Center for Dermatology LLC

  • Dermatology Physician
  • Boulder, CO
  • NPI 1063018000
  NPD (past)
• Boulder Valley Center for Dermatology LLC

  • Dermatology Physician
  • Lafayette, CO
  • NPI 1306927231
  NPD (past)
• Beverly Hills Dermatology Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1669886388
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1508049206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 30TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011237",
            "telephone_number": "303-444-0664",
            "fax_number": "303-440-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 30TH ST STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011237",
            "telephone_number": "303-444-0664",
            "fax_number": "303-440-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TODD",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR-51006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Becker
• Gina V. Becker, RN
• Mary Ellen Becker, M.D
• Mary Gail Becker, PH. D.
• Mercedes Becker, LPCC
• Volker W Becker, L.AC, N.D.
• Akinlolu S Beckley, M.D.
• Aaron Beckloff, PHARMD
• Christopher L Beckman
• Becky Cohen Nutrition, LLC

• MOHS-Micrographic Surgery Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• MOHS-Micrographic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.