Active NPI
Bret Baack, MD
- Dermatology Physician
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 51164
- Practice address
- 1120 E Elizabeth St
G-2
Fort Collins, CO 80524-4044 - Phone
- (970) 484-6303
- Fax
- (970) 484-6908
- NPI assigned
- Aug 1, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 90-145 | NM | |
| Dermatology Physician | 207N00000X | 51164 | CO | Primary |
Addresses
Primary practice location
1120 E Elizabeth St
G-2
Fort Collins, CO 80524-4044
Mailing address
1120 E Elizabeth St
G-2
Fort Collins, CO 80524-4044
Phone (970) 484-6303
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of New Mexico School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 Centre Ave
Fort Collins, CO 80526-1849
Phone (970) 484-3050
1100 Poudre River Dr
Unit a
Fort Collins, CO 80524-3557
Phone (970) 484-3050
1880 Fall River Dr
Suite 210
Loveland, CO 80538-7158
Phone (970) 484-3050
7251 W 20TH St
Unit E
Greeley, CO 80634-4626
Phone (970) 484-3050
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.78 of 100
- Quality
- 80
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 75.92
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 165 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51164 | CO | MD | Dermatology Physician |
| 90-145 | NM | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Dermatology of Colorado, PC | Dermatology | Current | Accepting new patients |
| Fort Collins Skin Clinic, P.C. | Dermatology | Past | Accepting new patients |
Locations
1100 Poudre River Dr
Unit A
Fort Collins, CO 80524
Phone (970) 484-3078
1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268
1006 Centre Ave
Fort Collins, CO 80526
Phone (970) 482-9001
Organizations & group practices 2
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.
-
- Dermatology Physician
- Fort Collins, CO
- NPI 1710370648
-
- Dermatology Physician
- Fort Collins, CO
- NPI 1619904943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1780690487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 E ELIZABETH ST",
"address_2": "G-2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244044",
"telephone_number": "970-484-6303",
"fax_number": "970-484-6908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 E ELIZABETH ST",
"address_2": "G-2",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244044",
"telephone_number": "970-484-6303",
"fax_number": "970-484-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAACK",
"first_name": "BRET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NM",
"license": "90-145",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "51164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.