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DOUGLAS PENN HORNBERGER P.A.
NPI 1447339536
Physician Assistant in Loveland, CO

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
58.5/100
CMS Quality Rating
2695 ROCKY MOUNTAIN AVE STE 110, LOVELAND, CO 80538(970) 482-4373 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2020, Dec 11, 2018 (2 updates tracked since 2018).

About Douglas Penn Hornberger P.a. NPPES

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

DOUGLAS PENN HORNBERGER P.A. (NPI 1447339536) is an individual physician assistant in Loveland, Colorado, licensed in Colorado (PA.0002158) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Campbell County Health, and maintains a secondary practice location in Greeley.

NPPES Registry Identity

NPI1447339536
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDOUGLAS PENN HORNBERGERCredential: P.A.
Location Address2695 ROCKY MOUNTAIN AVE STE 110Loveland, CO 80538-9074
Mailing Address2695 Rocky Mountain Ave Ste 110Loveland, CO 80538-9074 · (970) 482-4373
Phone(970) 482-4373
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 2, 2006
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1447339536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · PA.0002158
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2158 (CO)
2695 ROCKY MOUNTAIN AVE STE 110, Loveland, CO 80538
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Secondary Practice Location 1

Location 16767 29th St Fl 3Greeley, CO 80634-5474 · Phone (970) 667-7664 · Fax (970) 622-9843

Other Identifiers 1

Medicaid65356276CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.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

Douglas Penn Hornberger P.a. 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 ID3678766284
PECOS Enrollment IDI20131001000610
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 6

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.

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.
565 services350 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.
316 services242 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.
128 services128 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
60 services12 patients
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.
48 services48 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.
19 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Campbell County Health

Acute Care Hospitals · Gillette, WY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530002
Location501 South Burma AvenueGillette, WY 82716 · Campbell County
Emergency services

Sagewest Health Care

Acute Care Hospitals · Riverton, WY
1/5 CMS rating
OwnershipProprietary
CMS Certification Number530008
Location2100 W Sunset DrRiverton, WY 82501 · Fremont County
Emergency services

Wyoming Medical Center

Acute Care Hospitals · Casper, WY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530012
Location1233 East 2nd StCasper, WY 82601 · Natrona County
Emergency services Birthing friendly

Memorial Hospital Of Converse County

Critical Access Hospitals · Douglas, WY
OwnershipGovernment - Local
CMS Certification Number531302
Location111 South 5th StreetDouglas, WY 82633 · Converse County
Emergency services Birthing friendly

Memorial Hospital Of Carbon County

Critical Access Hospitals · Rawlins, WY
OwnershipGovernment - Local
CMS Certification Number531316
Location2221 West Elm StreetRawlins, WY 82301 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80538 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

58.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.77
Improvement Activities40
Cost57.42

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$92.01 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

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

POUDRE VALLEY MEDICAL GROUP, LLC
General Practice
2695 ROCKY MOUNTAIN AVE STE 110
LOVELAND, CO 80538
Larimer County (970) 624-4443

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 Douglas Hornberger's NPI number?

The NPI number for Douglas Hornberger is 1447339536. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Douglas Hornberger located?

Douglas Hornberger practices at 2695 Rocky Mountain Ave Ste 110, Loveland, CO 80538. The listed phone number is (970) 482-4373.

What is Douglas Hornberger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Douglas Hornberger enrolled in Medicare?

Yes. Douglas Hornberger 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 Douglas Hornberger accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Douglas Hornberger 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.

Is Douglas Hornberger affiliated with any hospitals?

According to CMS data, Douglas Hornberger is affiliated with Campbell County Health, Sagewest Health Care, Wyoming Medical Center, Memorial Hospital Of Converse County and Memorial Hospital Of Carbon County.

When was this NPI record last updated?

The NPPES record for Douglas Hornberger was last updated on November 17, 2020. 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.