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DAVID MARC NORTHERN MD
NPI 1164749875
Surgery in Usaf Academy, CO

Active since April 21, 2010PECOS Enrolled
4102 PINION DR, USAF ACADEMY, CO 80840(719) 333-5140 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2023, Oct 25, 2022, Sep 14, 2022 and 3 more (6 updates tracked since 2015).

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

NPI1164749875
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDAVID MARC NORTHERNCredential: MD
Location Address4102 PINION DRUsaf Academy, CO 80840-2502
Mailing Address4102 Pinion DrUsaf Academy, CO 80840-2502
Phone(719) 333-5140
Sole ProprietorNo
Enumeration DateApril 21, 2010
Last NPPES UpdateJune 30, 20236 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1164749875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CO · DR.0068175✔ Licensed in AL · 37734
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
4102 PINION DR, Usaf Academy, CO 80840
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Secondary Practice Location 1

Location 1701 19th Street SBirmingham, AL 35294-0001 · Phone (205) 975-7521

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Marc Northern Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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.

KAREN KEEN HARMON LCSW
Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5177
DR. JEANETTE MASON BACHMANN M.D.
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5111
REBECCA VAN WINKLE RN
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 440-7339
LESLIE SUE MATTORANO PHARMD
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-6337
KAY LYN NESS DDS
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
El Paso County (719) 333-5180
ROBERT LLOYD ELWOOD M.D.
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5975
DR. EVAN MATTHEW JONES M.D.
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5081
STACY KESER
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-3107

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.

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.