Individual provider Active NPI

Dann Conrad Byck III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Colorado Springs, CO
National Provider Identifier
1679565758
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
CDR.0002201 Issued in CO
Practice address
4105 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-3487
Phone
(719) 420-0200
Fax
(719) 352-0121
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 51866291205 UT
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X CDR.0002201 CO Primary

Addresses

Primary practice location

4105 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-3487

Mailing address

4105 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-3487
Phone (719) 402-0200

Other identifiers 17

IdentifierTypeStateIssuer
4360680001OtherCIGNA DMERC
870580455OtherAETNA
870680455OtherAM POSTAL WORKERS UNION
870680455OtherCBSA CORPORATE
870680455OtherCCN
D4621MedicaidUT
51866291200001OtherBCBS
870680455OtherBENEFIT PLAN ADMIN
51866291200001OtherBCBS OF OTHER STATE
870680455BYCOtherED IHC CARE PLUS
OM0000058953OtherALTUS
51866291200001OtherBC OF WYO
659750OtherDESERT MUTUAL
870680455OtherCIGNA
870680455OtherEBMS EMPLOYEE BENEFIT
870680455OtherBENEFIT PLANNERS
870680455OtherI159 ACORDIA NATIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100215000633 UT Practitioner - Orthopedic Surgery 4981502481 Reassigns benefits to 1 organization
I20230719002807 CO Practitioner - Orthopedic Surgery 4981502481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10535 Park Meadows Blvd
Suite 301
Lone Tree, CO 80124-8455

Hospital & facility affiliations

  • Sky Ridge Medical Center Hospital, Lone Tree, CO, CCN 060112
  • St Francis Hospital - Interquest Hospital, Colorado Springs, CO, CCN 060133

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51866291205UTMDOrthopaedic Surgery Physician
CDR.0002201COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Utah Orthopaedics LLC Orthopaedic Surgery CurrentSince Jul 1, 2010 Accepting new patients
Healthone Clinic Services Orthopedic Specialists LLC Orthopaedic Surgery CurrentSince Jan 2, 2025 Accepting new patients
Orthopedics Northwest PLLC Orthopaedic Surgery PastSince Jan 29, 2023 Accepting new patients
Colorado Orthopaedics PC Orthopaedic Surgery PastSince Jul 1, 2023 Accepting new patients
Mississippi Sports Medicine & Orthopaedic Center Orthopaedic Surgery Past Accepting new patients

Locations

4105 Briargate Pkwy
Ste 300
Colorado Springs, CO 80920
Phone (719) 473-3332

701 E Hampden Ave
Ste 5
Englewood, CO 80113
Phone (303) 209-2503

4403 Harrison Blvd
Ste 2600
Ogden, UT 84403
Phone (801) 378-7450

5782 Adams Avenue Pkwy
Ste 200
Washington Tr, UT 84405
Phone (801) 917-8000

5782 Adams Avenue Pkwy
Washington Tr, UT 84405
Phone (801) 917-8000

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • Direct secure messaging: dann.byck@hca3.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/26334/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/16409/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1679565758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203487",
            "telephone_number": "719-402-0200",
            "fax_number": "719-352-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 BRIARGATE PKWY STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203487",
            "telephone_number": "719-420-0200",
            "fax_number": "719-352-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYCK",
        "first_name": "DANN",
        "middle_name": "CONRAD",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "51866291205",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "CDR.0002201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMERC",
            "identifier": "4360680001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "870580455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AM POSTAL WORKERS UNION",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBSA CORPORATE",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D4621",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51866291200001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENEFIT PLAN ADMIN",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF OTHER STATE",
            "identifier": "51866291200001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ED IHC CARE PLUS",
            "identifier": "870680455BYC",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTUS",
            "identifier": "OM0000058953",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC OF WYO",
            "identifier": "51866291200001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESERT MUTUAL",
            "identifier": "659750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EBMS EMPLOYEE BENEFIT",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENEFIT PLANNERS",
            "identifier": "870680455",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "I159 ACORDIA NATIONAL",
            "identifier": "870680455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.