Individual provider Active NPI

Geoff Tyler Ledgerwood, M.D.

  • Urology Physician
  • Parker, CO
National Provider Identifier
1962600452
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
48095 Issued in CO
Practice address
11960 Lioness Way
Suite 210
Parker, CO 80134-5640
Phone
(303) 695-6106
NPI assigned
Jul 5, 2007
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 68612 AZ
Urology Physician 208800000X 48095 CO Primary

Addresses

Primary practice location

11960 Lioness Way
Suite 210
Parker, CO 80134-5640

Mailing address

11960 Lioness Way
Suite 210
Parker, CO 80134-5640
Phone (303) 695-6106

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
I20090918000157 CO Practitioner - Urology 6204982143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Urology PLLCGroup PAC ID 2365346558, 58 clinicians

Practice addresses (Care Compare)

10535 Park Meadows Blvd
Suite 102
Lone Tree, CO 80124-8455
Phone (303) 695-6106

2352 Meadows Blvd
Suite 300
Castle Rock, CO 80109-8419
Phone (303) 695-6106

32135 Castle CT
Suite 101
Evergreen, CO 80439-8006
Phone (303) 985-2550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68612AZMDUrology Physician
48095COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Lithotripter LLC Urology CurrentSince Nov 18, 2013 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Aug 31, 2009 Accepting new patients
Advanced Urology, PLLC Urology CurrentSince Aug 31, 2009 Accepting new patients
Foothills Urology, PC Urology Current Accepting new patients
Advanced Urology, PLLC Urology Current Accepting new patients

Locations

1800 N Emerson St
Ste 240
Denver, CO 80218
Phone (303) 731-6366

3535 S Lafayette St
Ste 220
Englewood, CO 80113
Phone (303) 839-6060

32135 Castle Ct
Ste 101
Evergreen, CO 80439
Phone (303) 679-8500

10535 Park Meadows Blvd
Ste 102
Lone Tree, CO 80124
Phone (303) 695-1211

11960 Lioness Way
Ste 210
Parker, CO 80134
Phone (303) 695-8706

25 Crossroads Dr
Ste 306
Owings Mills, MD 21117
Phone (443) 231-1681

Interoperability endpoints

  • Direct secure messaging: geoffledgerwood@fu.allscriptsdirect.net
  • Direct secure messaging: rockymountainlithotripterllc.geoffledgerwood@133913.advancedmd-direct.com

Organizations & group practices 5

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 1

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": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1962600452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 210",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-695-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 LIONESS WAY",
            "address_2": "SUITE 210",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801345640",
            "telephone_number": "303-695-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDGERWOOD",
        "first_name": "GEOFF",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "68612",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "48095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.