DR. DONALD A MASCHKA M.D.
NPI 1316933484
Otolaryngology in Boulder, CO

Active since September 23, 2005PECOS EnrolledAccepts Medicare Assignment
4745 ARAPAHOE AVE, SUITE 130, BOULDER, CO 80303(303) 443-2771(303) 443-2784 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Donald A Maschka M.d. NPPES

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

DR. DONALD A MASCHKA M.D. (NPI 1316933484) is an individual otolaryngology provider in Boulder, Colorado, licensed in Iowa (31558) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1988).

NPPES Registry Identity

NPI1316933484
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DONALD A MASCHKACredential: M.D.
Location Address4745 ARAPAHOE AVE, SUITE 130Boulder, CO 80303-1080
Mailing Address4745 Arapahoe Ave, Suite 130Boulder, CO 80303-1080 · (303) 443-2771 · Fax (303) 443-2784
Fax(303) 443-2784
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1988
Enumeration DateSeptember 23, 2005
Last NPPES UpdateMay 24, 2022
NPPES CertifiedMay 24, 2022
NPI 1316933484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in IA · 31558
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4745 ARAPAHOE AVE, Boulder, CO 80303

Other Identifiers 1

Medicaid0148718IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Donald A Maschka M.d. 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 ID2365448495
PECOS Enrollment IDI20161216000543
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 11

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,580 services32 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
116 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
100 services100 patients
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.
98 services82 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
96 services80 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$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.

Ophthalmology (Retina Specialist)
4745 ARAPAHOE AVE
BOULDER, CO 80303
Pediatrics
4745 ARAPAHOE AVE, SUITE 310
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, STE 130
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, STE 130
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, SUITE 130
BOULDER, CO 80303
Audiologist-Hearing Aid Fitter
4745 ARAPAHOE AVE, SUITE 130 BOULDER VALLEY EAR, NOSE, & THROAT
BOULDER, CO 80303
Pharmacist
4745 ARAPAHOE AVE, SUITE 120
BOULDER, CO 80303
Ophthalmology
4745 ARAPAHOE AVE, SUITE 100
BOULDER, CO 80303

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 Donald Maschka's NPI number?

The NPI number for Donald Maschka is 1316933484. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Where is Donald Maschka located?

Donald Maschka practices at 4745 Arapahoe Ave Suite 130, Boulder, CO 80303. The listed phone number is (303) 443-2771.

What is Donald Maschka's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Donald Maschka enrolled in Medicare?

Yes. Donald Maschka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donald Maschka was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.