DUSTIN GOERLITZ PHD
NPI 1093408015
Psychologist - Clinical in Lone Tree, CO

Q: What is Dustin Goerlitz's NPI number?

The NPI number for Dustin Goerlitz is 1093408015. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Q: What is Dustin Goerlitz's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Dustin Goerlitz was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since May 26, 2023PECOS EnrolledAccepts Medicare Assignment

9540 PARK MEADOWS DR, LONE TREE, CO 80124(720) 848-0000 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 19, 2025, May 26, 2023 (2 updates tracked since 2023).

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About Dustin Goerlitz Phd NPPES

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

DUSTIN GOERLITZ PHD (NPI 1093408015) is an individual clinical provider in Lone Tree, Colorado, licensed in Colorado (PSY.0006603) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Broomfield, and is a graduate of University Of Colorado School Of Medicine, Aurora (2023).

NPPES Registry Identity

NPI1093408015

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDUSTIN GOERLITZCredential: PHD

Location Address9540 PARK MEADOWS DRLone Tree, CO 80124-2894

Mailing AddressPo Box 110429Aurora, CO 80042-0429

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2023

Enumeration DateMay 26, 2023

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1093408015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CO · PSY.0006603

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9540 PARK MEADOWS DR, Lone Tree, CO 80124

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Secondary Practice Location 1

Location 11022 Depot Hill RdBroomfield, CO 80020-1068 · Phone (408) 710-9045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dustin Goerlitz Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678093192

PECOS Enrollment IDI20250226003715

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.

Medicare Billing Reassignment

Medicare enrollment records show Dustin Goerlitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physicians Incorporated

Same address

Family Medicine

9540 PARK MEADOWS DR
Lone Tree, CO 80124

Reassigned Medicare billing, Colorado enrollment
4,283 clinicians in this Medicare group

NPI 1205316239 (720) 848-9300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80124 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

$174.82 typical visit price

range $58.06 – $174.82

Typical copayment $43.70 (range $14.51 – $43.70)

Most-billed visit code 99205

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 20

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

JADE COOL

Student in an Organized Health Care Education/Training Program