FLYING HORSE MEDICAL CENTER
NPI 1184045726
Family Medicine in Colorado Springs, CO
About Flying Horse Medical Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FLYING HORSE MEDICAL CENTER (NPI 1184045726) is a healthcare organization registered as a family medicine in Colorado Springs, Colorado and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Aaron S. Fraser, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Flying Horse Medical Center 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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Flying Horse Medical Center, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Colorado Springs, CO 80918
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2079890
Flying Horse Medical Center · Colorado Springs, COCertificate for Provider-Performed Microscopy Procedures (PPMP) 06D2178372
Flying Horse Medical Center · Monument, COFrequently 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 Fraser Professional Medical Group LLC's NPI number?
The NPI number for Fraser Professional Medical Group LLC is 1184045726. It was assigned to this organization in the NPPES registry on December 28, 2013. The provider is doing business as Flying Horse Medical Center.
Where is Fraser Professional Medical Group LLC located?
Fraser Professional Medical Group LLC is located at 1615 Silversmith Rd, Colorado Springs, CO 80921. The listed phone number is (719) 433-5255.
What is Fraser Professional Medical Group LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Fraser Professional Medical Group LLC enrolled in Medicare?
Yes. Fraser Professional Medical Group LLC is registered in the Medicare PECOS enrollment system.
When is Fraser Professional Medical Group LLC'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 Fraser Professional Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Fraser Professional Medical Group LLC. 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. The largest specialties are Nurse Practitioner (5) and Family Practice (2). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Fraser Professional Medical Group LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Fraser Professional Medical Group LLC was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Flying Horse Medical Center · NPI 1184045726
Family Medicine organization in Colorado Springs, Colorado. Organization record, active in the CMS NPPES registry since December 28, 2013.
## Identity
- **NPI:** 1184045726 (Entity type: Organization)
- **Enumerated:** December 28, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Fraser Professional Medical Group Llc
- **Organization subpart:** No
- **Authorized official:** Aaron Fraser, MEDICAL DIRECTOR
## Practice location
- **Address:** 1615 SILVERSMITH RD, Colorado Springs, CO 80921-7225
- **Phone:** (719) 433-5255 · **Fax:** (719) 488-6753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Family Practice (2); 4 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2021
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184045726) · Data from the CMS NPPES public registry.