DR. NICKOLAS EVANGELOS POULOS D.O.
NPI 1457766487
Dermatology in Gunnison, CO

Q: What is Nickolas Poulos's NPI number?

The NPI number for Nickolas Poulos is 1457766487. It was assigned to this individual provider in the NPPES registry on June 28, 2014.

Q: What is Nickolas Poulos's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Nickolas Poulos was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since June 28, 2014PECOS EnrolledAccepts Medicare Assignment

711 N TAYLOR ST, GUNNISON, CO 81230(970) 641-9482(970) 642-4798 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2025, Mar 13, 2025, Sep 27, 2021 and 4 more (7 updates tracked since 2018).

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About Dr. Nickolas Evangelos Poulos D.o. NPPES

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

DR. NICKOLAS EVANGELOS POULOS D.O. (NPI 1457766487) is an individual dermatology provider in Gunnison, Colorado, licensed in Colorado (DR.0059273) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1457766487

Entity TypeIndividualMale

Primary Taxonomy207N00000X

Provider Legal NameDR. NICKOLAS EVANGELOS POULOSCredential: D.O.

Location Address711 N TAYLOR STGunnison, CO 81230-2208

Mailing Address711 N Taylor StGunnison, CO 81230-2208 · (970) 641-3927 · Fax (970) 642-4798

Phone(970) 641-9482

Fax(970) 642-4798

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 28, 2014

Last NPPES UpdateJune 11, 20257 updates tracked since enumeration

NPPES CertifiedJune 11, 2025

✔ NPI 1457766487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in CO · DR.0059273✔ Licensed in FL · OS13474

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License DR.0059273 (CO), OS13474 (FL)

711 N TAYLOR ST, Gunnison, CO 81230

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Secondary Practice Locations 3

Location 11650 Cochrane Cir Bldg 75001Fort Carson, CO 80913-4613 · Phone (719) 526-7185

Location 26140 SW 70th St Fl 2South Miami, FL 33143-3419 · Phone (305) 284-7524 · Fax (719) 960-3111

Location 310350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Other Identifiers 2

Medicaid9000176165CO

Other029298CO · Kaiser Commercial Number

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. Nickolas Evangelos Poulos D.o. 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 ID9830482702

PECOS Enrollment IDI20181221001071

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 7

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 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.

134 services100 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.

125 services83 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

113 services13 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

108 services79 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

95 services95 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

33 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81230 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.

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.

BROOKE CHRISTINE BREDBECK MD

Surgery