Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL CAVALCANTE MD
NPI 1356758692
Neurological Surgery in Boulder, CO

Active since July 18, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
4743 ARAPAHOE AVE STE 100, BOULDER, CO 80303(303) 938-5700 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Mar 25, 2020 (2 updates tracked since 2020).

About Daniel Cavalcante Md NPPES

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

DANIEL CAVALCANTE MD (NPI 1356758692) is an individual neurological surgery provider in Boulder, Colorado, licensed in Colorado (DR.0059615) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356758692
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDANIEL CAVALCANTECredential: MD
Location Address4743 ARAPAHOE AVE STE 100Boulder, CO 80303-1123
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 18, 2014
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1356758692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Licenses✔ Licensed in CO · DR.0059615✔ Licensed in WA · FE60437232
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4743 ARAPAHOE AVE STE 100, Boulder, CO 80303

Secondary Practice Locations 2

Location 14743 Arapahoe Ave Ste 202Boulder, CO 80303-1128 · Phone (303) 938-5700
Location 212605 E 16th AveAurora, CO 80045-2545 · Phone (720) 848-0000

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

Daniel Cavalcante Md 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 ID2062730559
PECOS Enrollment IDI20200406001551
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 Reassignments

2

Medicare enrollment records show Daniel Cavalcante reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
4743 ARAPAHOE AVE STE 100
Boulder, CO 80303
  • Reassigned Medicare billing, Colorado enrollment
  • 283 clinicians in this Medicare group
General Practice
777 BANNOCK ST
Denver, CO 80204
  • Reassigned Medicare billing, Colorado enrollment
  • 2,259 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.

Areas of Expertise CMS Part B claims 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
65 services65 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.
42 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services17 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Neurological Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Clinic/Center (Medical Specialty)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Neurological Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Nurse Practitioner (Family)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Physician Assistant (Surgical)
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Surgery
4743 ARAPAHOE AVE STE 100
BOULDER, CO 80303
Physician Assistant (Surgical)
4743 ARAPAHOE AVE STE 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 Daniel Cavalcante's NPI number?

The NPI number for Daniel Cavalcante is 1356758692. It was assigned to this individual provider in the NPPES registry on July 18, 2014.

Where is Daniel Cavalcante located?

Daniel Cavalcante practices at 4743 Arapahoe Ave Ste 100, Boulder, CO 80303. The listed phone number is (303) 938-5700.

What is Daniel Cavalcante's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Daniel Cavalcante enrolled in Medicare?

Yes. Daniel Cavalcante 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.

Which organizations bill Medicare for Daniel Cavalcante's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Cavalcante reassigns Medicare benefits to 2 organizations: Boulder Community Health (Boulder, CO) and Denver Health And Hospital Authority (Denver, CO). 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 Daniel Cavalcante's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Daniel Cavalcante was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.