1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Internal Medicine
  6. NPI Profile

BRADLEY D FANESTIL M.D.
NPI 1023156254
Internal Medicine in Boulder, CO

Active since February 01, 2007PECOS Enrolled
4801 RIVERBEND RD STE 120B, BOULDER, CO 80301(303) 415-8615(303) 293-0628 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2019, Jul 24, 2018, Nov 9, 2017 and 2 more (5 updates tracked since 2015).

About Bradley D Fanestil M.d. NPPES

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

BRADLEY D FANESTIL M.D. (NPI 1023156254) is an individual internal medicine provider in Boulder, Colorado, licensed in Colorado (DR.0031874) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1987).

NPPES Registry Identity

NPI1023156254
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRADLEY D FANESTILCredential: M.D.
Location Address4801 RIVERBEND RD STE 120BBoulder, CO 80301-2613
Mailing Address5450 Western AveBoulder, CO 80301-2709 · (303) 415-4250 · Fax (303) 440-9629
Phone(303) 415-8615
Fax(303) 293-0628
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1987
Enumeration DateFebruary 1, 2007
Last NPPES UpdateMay 10, 20195 updates tracked since enumeration
✔ NPI 1023156254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0031874
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4801 RIVERBEND RD STE 120B, Boulder, CO 80301
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley D Fanestil M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789618950
PECOS Enrollment IDI20050927000294
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
58 services43 patients
Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494
Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.
43 services11 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
21 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Set-up and patient education for remote monitoring of therapy 98975
Remote therapy monitoring involves using digital devices to track your health and treatment progress from home. You'll receive a device to record health data, like heart rate or blood sugar. This data is shared with your healthcare team, allowing them to adjust your treatment as needed.
13 services13 patients
Initial psychiatric collaborative care management, first calendar month, first 70 minutes 99492
This is the first month of a mental health care program where a team of health professionals collaboratively manage your care. The first 70 minutes involve assessing your needs, creating a care plan, and coordinating services to support your mental wellbeing.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOULDER COMMUNITY HEALTH
Clinic/Center
4801 RIVERBEND RD STE 120B
BOULDER, CO 80301
Boulder County (303) 415-8615
TAYLOR BISTER
Social Worker
4801 RIVERBEND RD STE 120B
BOULDER, CO 80301
Boulder County (303) 415-8659

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 Bradley Fanestil's NPI number?

The NPI number for Bradley Fanestil is 1023156254. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Bradley Fanestil located?

Bradley Fanestil practices at 4801 Riverbend Rd Ste 120B, Boulder, CO 80301. The listed phone number is (303) 415-8615.

What is Bradley Fanestil's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bradley Fanestil enrolled in Medicare?

Yes. Bradley Fanestil is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Fanestil was last updated on May 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.