Individual provider Active NPI

Ricky R Eaton, PA-C

  • Medical Physician Assistant
  • Aurora, CO
National Provider Identifier
1982715397
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2701 Issued in CO
Practice address
24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387
Phone
(303) 330-0410
Fax
(303) 330-0732
NPI assigned
Aug 31, 2006
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 645 NE
Medical Physician Assistant 363AM0700X 2701 CO Primary

Addresses

Primary practice location

24300 E Smoky Hill Rd Unit 120
Aurora, CO 80016-1387

Mailing address

1805 Shea Center Dr Ste 301
Highlands Ranch, CO 80129-2277
Phone (303) 330-0410

Other practice location 1

6001 E Woodmen Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-1405

Other identifiers 3

IdentifierTypeStateIssuer
37895OtherBCBS
8834OtherMIDLANDS CHOICE
06550037MedicaidCO

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091102000460 CO Practitioner - Physician Assistant 5092808303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pahs Onpoint Urgent Care LLCGroup PAC ID 3476888363, 36 clinicians
Medventures PLLCGroup PAC ID 1850440652, 19 clinicians

Practice addresses (Care Compare)

10120 E Dry Creek Rd
Suite 101
Englewood, CO 80112-2772
Phone (720) 738-1122

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016-1387
Phone (303) 341-4411

7280 Lagae Rd
Suite I
Castle Pines, CO 80108-9454
Phone (720) 638-3405

9205 S Broadway
Highlands Ranch, CO 80129-5631
Phone (303) 330-0271

9695 S Yosemite St
Suite 150
Lone Tree, CO 80124-2891
Phone (720) 255-2350

Merit-based Incentive Payment System (MIPS)

Final score
68.22 of 100Reported as group
Quality
57.29
Improvement activities
40
Cost
72.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
645NEMDAddiction (Substance Use Disorder) Counselor
4392AZMDOccupational Therapist
2701COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Aug 17, 2021 Accepting new patients
Pahs Onpoint Urgent Care LLC CurrentSince Aug 17, 2021 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
Piney Creek Medical LLC PastSince Nov 1, 1999 Accepting new patients
Colorado Urgent Care PLLC Past Accepting new patients
Front Range Emergency Specialists, PC Past Accepting new patients
Southwest Emergency Physicians, PLLC Past Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

1151 Aloha St
Ste 200
Castle Rock, CO 80108
Phone (303) 357-2559

10120 E Dry Creek Rd
Ste 101
Englewood, CO 80112
Phone (303) 330-0410

1805 Shea Center Dr
Ste 301
Highlands Ranch, CO 80129
Phone (303) 357-2559

9205 S Broadway
Highlands Ranch, CO 80129
Phone (303) 330-0271

9695 S Yosemite St
Ste 150
Lone Tree, CO 80124
Phone (303) 317-4878

Interoperability endpoints

  • Direct secure messaging: rick.eaton.1@9821.direct.athenahealth.com
  • Direct secure messaging: ricky.eaton.2@9821.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1982715397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHEA CENTER DR STE 301",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292277",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 E SMOKY HILL RD UNIT 120",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161387",
            "telephone_number": "303-330-0410",
            "fax_number": "303-330-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 E Woodmen Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232601",
            "country_code": "US",
            "telephone_number": "719-571-1405",
            "fax_number": "719-571-1462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "RICKY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "645",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "37895",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "8834",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06550037",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.