DAVID MARC NORTHERN MD
NPI 1164749875
Surgery in Usaf Academy, CO
About David Marc Northern Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID MARC NORTHERN MD (NPI 1164749875) is an individual surgery provider in Usaf Academy, Colorado, licensed in Colorado (DR.0068175) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Marc Northern Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show David Northern reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loveland, CO 80538
- Reassigned Medicare billing, Colorado enrollment
- 2,596 clinicians in this Medicare group
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
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 80840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
USAF ACADEMY, CO 80840
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 David Northern's NPI number?
The NPI number for David Northern is 1164749875. It was assigned to this individual provider in the NPPES registry on April 21, 2010.
Where is David Northern located?
David Northern practices at 4102 Pinion Dr, Usaf Academy, CO 80840. The listed phone number is (719) 333-5140.
What is David Northern's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is David Northern enrolled in Medicare?
Yes. David Northern is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for David Northern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Northern reassigns Medicare benefits to 2 organizations: Poudre Valley Medical Group, LLC (Loveland, CO) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each 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 David Northern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Northern accept?
Health plans from Select Health list David Northern as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for David Northern was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# David Marc Northern, MD · NPI 1164749875
Surgery physician in Usaf Academy, Colorado. Individual provider, active in the CMS NPPES registry since April 21, 2010.
## Identity
- **NPI:** 1164749875 (Entity type: Individual)
- **Enumerated:** April 21, 2010
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** DR.0068175 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 4102 PINION DR, Usaf Academy, CO 80840-2502
- **Phone:** (719) 333-5140
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Poudre Valley Medical Group, LLC (NPI 1366763260, Loveland, CO); University Of Alabama Health Services Foundation, PC (NPI 1164617205, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1164749875) · Data from the CMS NPPES public registry.