Individual provider Active NPI

Lewis J Kirkegaard, MD

  • Dermatology Physician
  • Grand Junction, CO
National Provider Identifier
1730143587
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DR.0039427 Issued in CO
Practice address
1190 Bookcliff Ave
Grand Junction, CO 81501-8133
Phone
(970) 462-9253
Fax
(970) 462-3051
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X DR.0039427 CO Primary

Addresses

Primary practice location

1190 Bookcliff Ave
Grand Junction, CO 81501-8133

Mailing address

1190 Bookcliff Ave
Grand Junction, CO 81501-8133
Phone (970) 462-9253

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
I20100920000384 CO Practitioner - Dermatology 3375668924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Emory University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Dermatology PCGroup PAC ID 5496647828, 9 clinicians

Practice addresses (Care Compare)

2655 Little Bookcliff Dr
Grand Junction, CO 81501-8801
Phone (970) 242-7273

Hospital & facility affiliations

  • Intermountain Health St. Mary'S Regional Hospital Hospital, Grand Junction, CO, CCN 060023

Merit-based Incentive Payment System (MIPS)

Final score
85.25 of 100Reported as group
Quality
79.34
Improvement activities
40
Cost
78.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision32
Removal of skin lesions1413
Removal of nail tissue1-10
Skin biopsy450

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain West Dermatology, PC Dermatology CurrentSince Apr 1, 2003 Accepting new patients

Locations

2655 Little Bookcliff Dr
Grand Junction, CO 81501
Phone (970) 242-7273

Organizations & group practices 1

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 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1730143587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-462-9253",
            "fax_number": "970-462-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 BOOKCLIFF AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815018133",
            "telephone_number": "970-462-9253",
            "fax_number": "970-462-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKEGAARD",
        "first_name": "LEWIS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR.0039427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.