Active NPI
Gary James Tackling, MD
- Hospitalist Physician
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- DR.0067063
- Practice address
- 1950 Mountain View Ave
Longmont, CO 80501-3129 - Phone
- (303) 485-3066
- Fax
- (303) 485-3060
- NPI assigned
- Apr 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME145962 | FL | |
| Internal Medicine Physician | 207R00000X | DR.0067063 | CO | |
| Hospitalist Physician | 208M00000X | DR.0067063 | CO | Primary |
Addresses
Primary practice location
1950 Mountain View Ave
Longmont, CO 80501-3129
Mailing address
1005 Mar Walt Drive
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8100
Other practice location 1
1005 Mar Walt Drive
Internal Medicine Department
Fort Walton Beach, FL 32547-6707
Phone (850) 863-8202
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 485-3066
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.06 of 100
- Quality
- 89.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0067063 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Hospitalist | Current | Accepting new patients |
| Portercare Adventist Health System | Current | Accepting new patients |
Locations
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786
1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000
100 Health Park Dr
Louisville, CO 80027
Phone (303) 673-1000
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 6
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.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba Mosu Med Onc Summit
- Medical Oncology Physician
- Frisco, CO
- NPI 1700258050
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba Aahg Hospitalists Aah
- Hospitalist Physician
- Louisville, CO
- NPI 1679961569
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longmont, CO
- NPI 1366465866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1598299141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 MAR WALT DRIVE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476707",
"telephone_number": "850-863-8100",
"fax_number": "850-863-8548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 MOUNTAIN VIEW AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013129",
"telephone_number": "303-485-3066",
"fax_number": "303-485-3060"
}
],
"practiceLocations": [
{
"address_1": "1005 Mar Walt Drive",
"address_2": "Internal Medicine Department",
"address_purpose": "LOCATION",
"city": "Fort Walton Beach",
"state": "FL",
"postal_code": "325476707",
"country_code": "US",
"telephone_number": "850-863-8202",
"fax_number": "850-862-6148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TACKLING",
"first_name": "GARY",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME145962",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "DR.0067063",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CO",
"license": "DR.0067063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.