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FRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
NPI 1013114230
Specialist in Longmont, CO

Active since June 29, 2007
1325 DRY CREEK DR, SUITE 103, LONGMONT, CO 80503(720) 494-9111(720) 494-9555 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Front Range Otolaryngology & Facial Plastic Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC (NPI 1013114230) is a healthcare organization registered as a specialist in Longmont, Colorado and active in the NPI registry since June 2007. The organization lists Kevin C Cavanaugh, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1013114230
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFRONT RANGE OTOLARYNGOLOGY & FACIAL PLASTIC SURGERY PC
Location Address1325 DRY CREEK DR, SUITE 103Longmont, CO 80503-7731
Mailing Address1325 Dry Creek Dr, Suite 103Longmont, CO 80503-7731 · (720) 494-9111 · Fax (720) 494-9555
Phone(720) 494-9111
Fax(720) 494-9555
Organization SubpartNo
Authorized OfficialKevin C CavanaughOwner Md · (720) 494-9111
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 24, 2016
✔ NPI 1013114230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CO · 207YS0123X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1325 DRY CREEK DR, Longmont, CO 80503
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Other Identifiers 4

Medicaid91282888CO
Medicare UPINH43078CO
Medicaid94320381CO
Medicare PIN1013114230CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Front Range Otolaryngology & Facial Plastic Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040914001398Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Front Range Otolaryngology & Facial Plastic Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kevin Cavanaugh, MD
Otolaryngology
NPI 1275539843
1325 DRY CREEK DR SUITE 103
Longmont, CO 80503
(720) 494-9111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Front Range Otolaryngology & Facial Plastic Surgery PC's NPI number?

The NPI number for Front Range Otolaryngology & Facial Plastic Surgery PC is 1013114230. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Front Range Otolaryngology & Facial Plastic Surgery PC located?

Front Range Otolaryngology & Facial Plastic Surgery PC is located at 1325 Dry Creek Dr Suite 103, Longmont, CO 80503. The listed phone number is (720) 494-9111.

What is Front Range Otolaryngology & Facial Plastic Surgery PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Front Range Otolaryngology & Facial Plastic Surgery PC enrolled in Medicare?

Yes. Front Range Otolaryngology & Facial Plastic Surgery PC is registered in the Medicare PECOS enrollment system.

When is Front Range Otolaryngology & Facial Plastic Surgery PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Front Range Otolaryngology & Facial Plastic Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Front Range Otolaryngology & Facial Plastic Surgery PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Front Range Otolaryngology & Facial Plastic Surgery PC was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.