MARK DAVID MENICH MD
NPI 1417983438
Allergy & Immunology - Allergy in Boulder, CO

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
3950 BROADWAY ST, BOULDER VALLEY ASTHMA AND ALLERGY CLINICS, BOULDER, CO 80304(303) 444-5995(303) 443-5030 Get Directions Write a Review

NPPES record last updated: December 30, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark David Menich Md NPPES

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

MARK DAVID MENICH MD (NPI 1417983438) is an individual allergy provider in Boulder, Colorado, licensed in Colorado (46383) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).

NPPES Registry Identity

NPI1417983438
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameMARK DAVID MENICHCredential: MD
Location Address3950 BROADWAY ST, BOULDER VALLEY ASTHMA AND ALLERGY CLINICSBoulder, CO 80304-1104
Mailing Address3950 Broadway St, Boulder Valley Asthma And Allergy ClinicsBoulder, CO 80304-1104 · (303) 444-5995 · Fax (303) 443-5030
Fax(303) 443-5030
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateJune 23, 2006
Last NPPES UpdateDecember 30, 2015
NPI 1417983438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License Licensed in CO · 46383
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License 46383 (CO)
Also ListedInternal Medicine · Allergy & ImmunologyTaxonomy 207RA0201X · License MD044657E (PA)
3950 BROADWAY ST, Boulder, CO 80304

Other Identifiers 2

Medicaid14209764CO
Medicare PINCO305418CO

Accepted Insurance

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

Mark David Menich 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 ID2567516958
PECOS Enrollment IDI20090819000784, I20171012003287, I20260115004268
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 8

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.
944 services22 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
335 services63 patients
Professional service for single injection of allergen 95115
A single allergen injection is a procedure where a small amount of a specific allergen is injected into your body. This is done to test your body's reaction to the allergen or to help your immune system become less sensitive to it, reducing allergic symptoms.
142 services38 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.
52 services44 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
51 services43 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.
41 services38 patients

Referred Medical Equipment & Supplies CMS DME claims

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

Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers13 claims1,040 services$34.91 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.

Specialist
3950 BROADWAY ST
BOULDER, CO 80304
Specialist
3950 BROADWAY ST
BOULDER, CO 80304
Specialist
3950 BROADWAY ST
BOULDER, CO 80304
Specialist
3950 BROADWAY ST
BOULDER, CO 80304

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 Mark Menich's NPI number?

The NPI number for Mark Menich is 1417983438. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Mark Menich located?

Mark Menich practices at 3950 Broadway St Boulder Valley Asthma And Allergy Clinics, Boulder, CO 80304. The listed phone number is (303) 444-5995.

What is Mark Menich's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Mark Menich enrolled in Medicare?

Yes. Mark Menich 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.

What insurance does Mark Menich accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Mark Menich as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Menich was last updated on December 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.