DR. JEREMY DEWALL MD, NREMT-P
NPI 1477672863
Emergency Medicine in Woodland Park, CO
About Dr. Jeremy Dewall Md, Nremt-p NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY DEWALL MD, NREMT-P (NPI 1477672863) is an individual emergency medicine provider in Woodland Park, Colorado, licensed in Colorado (48580) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Colorado Springs.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeremy Dewall Md, Nremt-p is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Dewall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Colorado Springs, CO 80921
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Emergency Medical Specialists, P.C.
- 138 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80863 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WOODLAND PARK, CO 80863
WOODLAND PARK, CO 80863
WOODLAND PARK, CO 80863
WOODLAND PARK, CO 80863
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 Jeremy Dewall's NPI number?
The NPI number for Jeremy Dewall is 1477672863. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Dr. Jeremy De Wall MD, Nremt-P.
Where is Jeremy Dewall located?
Jeremy Dewall practices at 16420 W Us Highway 24, Woodland Park, CO 80863. The listed phone number is (719) 687-9999.
What is Jeremy Dewall's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeremy Dewall enrolled in Medicare?
Yes. Jeremy Dewall is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Dewall's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Dewall reassigns Medicare benefits to Emergency Medical Specialists, PC (Colorado Springs, CO). The 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 Jeremy Dewall'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 Jeremy Dewall was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Jeremy Dewall, MD, NREMT-P · NPI 1477672863
Emergency Medicine physician in Woodland Park, Colorado. Individual provider, active in the CMS NPPES registry since March 28, 2007.
## Identity
- **NPI:** 1477672863 (Entity type: Individual)
- **Enumerated:** March 28, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 48580 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 16420 W US HIGHWAY 24, Woodland Park, CO 80863
- **Phone:** (719) 687-9999 · **Fax:** (303) 306-7753
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Medical Specialists, PC (NPI 1740894039, Colorado Springs, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2019
- **Other identifiers:** Medicaid 30489377 (CO)
---
Source: [NPI Profile](https://npiprofile.com/npi/1477672863) · Data from the CMS NPPES public registry.