Individual provider Active NPI

David J Lundy, MD

  • Surgery Physician
  • Grand JCT, CO
National Provider Identifier
1902179146
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0052497 Issued in CO
Practice address
2373 G Rd Ste 280
Grand JCT, CO 81505-1006
Phone
(970) 243-9340
Fax
(970) 241-6894
NPI assigned
Feb 20, 2012
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0052497 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 280
Grand JCT, CO 81505-1006

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 243-9340

Other practice location 1

750 Hospital Loop
Craig, CO 81625-8750
Phone (970) 824-9411

Other identifiers 3

IdentifierTypeStateIssuer
65907311MedicaidCO
0297163OtherWASTATE L&I
0300999OtherWASTATE L&I

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
I20131011001009 CO Practitioner - General Surgery 5799932893 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

2373 G Rd
Suite 280
Grand Junction, CO 81505-1006
Phone (970) 644-4030

4700 Lady Moon Dr
Suite C1
Fort Collins, CO 80528-4426
Phone (970) 821-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as group
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0052497COMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC Current Accepting new patients
The Memorial Hospital Current Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince May 30, 2025 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince May 30, 2025 Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2021 Accepting new patients
The Memorial Hospital CurrentSince Aug 26, 2025 Accepting new patients
The Memorial Hospital CurrentSince Aug 26, 2025 Accepting new patients
Community Medical Group, LLC CurrentSince Aug 1, 2021 Accepting new patients
Colorado West Healthcare System Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

750 Hospital Loop
Craig, CO 81625
Phone (970) 824-9411

4700 Lady Moon Dr
Ste C1
Fort Collins, CO 80528
Phone (970) 821-4500

401 Kokopelli Blvd
Ste 1
Fruita, CO 81521
Phone (970) 858-2705

2373 G Rd
Ste 280
Grand Junction, CO 81505
Phone (970) 243-9343

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

100 Pmc Dr
Meeker, CO 81641
Phone (970) 878-4014

225 Eagle Crest Dr
Rangely, CO 81648
Phone (970) 675-4253

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1329696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1902179146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-243-9340",
            "fax_number": "970-241-6894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 280",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815051006",
            "telephone_number": "970-243-9340",
            "fax_number": "970-241-6894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Craig",
            "state": "CO",
            "postal_code": "816258750",
            "country_code": "US",
            "telephone_number": "970-824-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDY",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-20",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "0052497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65907311",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0297163",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0300999",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand JCT, CO

Sources for this page

Verify at the official NPI Registry.