Individual provider Active NPI

Brett R Jepson, MD

  • Urology Physician
  • Colorado Springs, CO
National Provider Identifier
1972505220
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0055168 Issued in CO
Practice address
1644 Medical Center PT
Suite 200
Colorado Springs, CO 80907-5764
Phone
(719) 634-1994
Fax
(719) 634-2906
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0055168 CO Primary

Addresses

Primary practice location

1644 Medical Center PT
Suite 200
Colorado Springs, CO 80907-5764

Mailing address

1644 Medical Center PT
Suite 200
Colorado Springs, CO 80907-5764
Phone (719) 634-1994

Other practice location 1

1010 Three Springs Blvd Ste 270
Durango, CO 81301-8296
Phone (970) 764-3845

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
I20150805006395 CO Practitioner - Urology 0345270088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Kansas School of Med (KC/Wich/Sal), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Colorado Springs Urological Associates LLCGroup PAC ID 6709155393, 20 clinicians
Rocky Mountain Lithotripter LLCGroup PAC ID 5395737985, 5 clinicians

Practice addresses (Care Compare)

1644 Medical Ctr PT
Suite 200
Colorado Springs, CO 80907-5765
Phone (719) 634-1994

3535 S Lafayette St
Englewood, CO 80113-3972
Phone (303) 839-6060

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031
  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022
  • Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301
  • Uchealth Pikes Peak Regional Hospital Hospital, Woodland Park, CO, CCN 061326
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection29

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0055168COMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Lithotripter LLC Urology CurrentSince Jul 1, 2018 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Colorado Springs Urological Associates LLC Urology CurrentSince Oct 1, 2017 Accepting new patients

Locations

1644 Medical Center Pt
Colorado Springs, CO 80907
Phone (717) 776-4712

6071 E Woodmen Rd
Ste 300
Colorado Springs, CO 80923
Phone (719) 531-7007

1644 Medical Center Pt
Ste 200
Colorado Springs, CO 80907
Phone (719) 634-1994

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

Interoperability endpoints

  • Direct secure messaging: rockymountainlithotripterllc.brettjepson@133913.advancedmd-direct.com

Organizations & group practices 3

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 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1972505220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075764",
            "telephone_number": "719-634-1994",
            "fax_number": "719-634-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 MEDICAL CENTER PT",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075764",
            "telephone_number": "719-634-1994",
            "fax_number": "719-634-2906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Three Springs Blvd Ste 270",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3845",
            "fax_number": "970-764-3823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEPSON",
        "first_name": "BRETT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "0055168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.