DR. ERNEST EARL BRAXTON JR. M.D.
NPI 1407080716
Neurological Surgery in Edwards, CO

Active since May 14, 2009Opted out of Medicare · through Oct 1, 2026
62.62/100
CMS Quality Rating
1140 EDWARDS VILLAGE BLVD STE B-105, EDWARDS, CO 81632(970) 569-3240(866) 725-4659 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2024, May 2, 2022, Jun 8, 2017 (3 updates tracked since 2017).

About Dr. Ernest Earl Braxton Jr. M.d. NPPES

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

DR. ERNEST EARL BRAXTON JR. M.D. (NPI 1407080716) is an individual neurological surgery provider in Edwards, Colorado, licensed in Colorado (DR.0058687) and active in the NPI registry since May 2009. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer, maintains a secondary practice location in Frisco, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2001).

NPPES Registry Identity

NPI1407080716
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. ERNEST EARL BRAXTON JR.Credential: M.D.
Location Address1140 EDWARDS VILLAGE BLVD STE B-105Edwards, CO 81632-5525
Mailing Address2472 Patterson Rd Unit 8Grand Junction, CO 81505-1100 · (970) 241-0202 · Fax (970) 245-0250
Fax(866) 725-4659
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2001
Enumeration DateMay 14, 2009
Last NPPES UpdateApril 10, 20243 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
NPI 1407080716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CO · DR.0058687
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.

1140 EDWARDS VILLAGE BLVD STE B-105, Edwards, CO 81632

Secondary Practice Location 1

Location 1360 Peak One Dr Ste 180Frisco, CO 80443-5948 · Phone (970) 668-3633 · Fax (970) 668-4406

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Ernest Earl Braxton Jr. M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 14

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.

X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
205 services179 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
162 services141 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.
154 services143 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.
153 services153 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
70 services20 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
60 services57 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81632 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.

62.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.54
Improvement Activities40
Cost18.43

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cervical, collar, semi-rigid, thermoplastic foam, two piece with thoracic extension, prefabricated, off-the-shelf L0174
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$250.84 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0648
DME-Orthotic Devices · category DF007N
1 supplier18 claims18 services$718.68 avg. paid by Medicare
Lumbar-sacral orthosis, sagittal-coronal control, rigid shell(s)/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, anterior extends from symphysis pubis to xyphoid, produces intracavitary pressure to reduce load on the intervertebral discs, overall strength is provided by overlapping rigid material and stabilizing closures, includes straps, closures, may include soft interface, pendulous abdomen design, prefabricated, off-the-shelf L0651
DME-Orthotic Devices · category DF007N
1 supplier12 claims12 services$713.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
1140 EDWARDS VILLAGE BLVD STE B-105
EDWARDS, CO 81632
Physical Therapist
1140 EDWARDS VILLAGE BLVD STE B-105
EDWARDS, CO 81632
Prosthetic/Orthotic Supplier
1140 EDWARDS VILLAGE BLVD STE B-105
EDWARDS, CO 81632
Orthopaedic Surgery
1140 EDWARDS VILLAGE BLVD STE B-105
EDWARDS, CO 81632

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 Ernest Braxton's NPI number?

The NPI number for Ernest Braxton is 1407080716. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Ernest Braxton located?

Ernest Braxton practices at 1140 Edwards Village Blvd Ste B-105, Edwards, CO 81632. The listed phone number is (970) 569-3240.

What is Ernest Braxton's specialty?

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

Is Ernest Braxton enrolled in Medicare?

No. Ernest Braxton has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ernest Braxton was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.