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MOUNTAIN STATES PATHOLOGY
NPI 1548033475
Pathology - Anatomic Pathology & Clinical Pathology in Frisco, CO

Active since November 02, 2023
340 PEAK ONE DRIVE, FRISCO, CO 80443(970) 668-3300 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain States Pathology NPPES

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

MOUNTAIN STATES PATHOLOGY (NPI 1548033475) is a healthcare organization registered as an anatomic pathology & clinical pathology in Frisco, Colorado and active in the NPI registry since November 2023. The organization lists David Newton, Owner, as its authorized official.

NPPES Registry Identity

NPI1548033475
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameMOUNTAIN STATES PATHOLOGY
Location Address340 PEAK ONE DRIVEFrisco, CO 80443-0738
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453
Phone(970) 668-3300
Organization SubpartNo
Authorized OfficialDavid NewtonOwner · (719) 776-5816
Enumeration DateNovember 2, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1548033475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
340 PEAK ONE DRIVE, Frisco, CO 80443
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain States Pathology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateColoradoEnrollment IDO20040603000700Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Mountain States Pathology, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (18)

Haley Davis, MD
Pathology
NPI 1235636150
11600 W 2ND PL
Lakewood, CO 80228
(720) 321-0000
✔ PECOS✔ Accepts Medicare52 mi
Jeenal Gordhandas
Pathology
NPI 1740765890
7700 S BROADWAY
Littleton, CO 80122
(303) 730-8900
✔ PECOS✔ Accepts Medicare58 mi
Sammie Roberts, MD
Pathology
NPI 1144615295
12605 E 16TH AVE
Aurora, CO 80045
(303) 493-7000
✔ PECOS✔ Accepts Medicare67 mi
Michael Mertz, DO
Pathology
NPI 1356970800
2222 N NEVADA AVE
Colorado Springs, CO 80907
(216) 444-2200
✔ PECOS83 mi
James Atkinson, DO
Pathology
NPI 1427585678
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5816
✔ PECOS✔ Accepts Medicare83 mi
Ryan Coates, M.D.
Pathology
NPI 1295153401
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5816
✔ PECOS✔ Accepts Medicare83 mi
Barret Lawshe, MD
Pathology
NPI 1194789552
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5000
✔ PECOS83 mi
Kelsey Mansheim, D.O.
Pathology
NPI 1700265436
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5000
✔ PECOS✔ Accepts Medicare83 mi
Erin Merboth, M.D.
Pathology
NPI 1134485444
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5816
✔ PECOS✔ Accepts Medicare83 mi
Ryan Okal, M.D.
Pathology
NPI 1144588351
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5000
✔ PECOS✔ Accepts Medicare83 mi
Tania Saliba, DO
Pathology
NPI 1407373624
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5816
✔ PECOS✔ Accepts Medicare83 mi
David Newton, MD
Pathology
NPI 1184689762
2222 N NEVADA AVENUE
Colorado Springs, CO 80907
(719) 776-5000
✔ PECOS✔ Accepts Medicare83 mi
David Fjeldsted, M.D.
Pathology
NPI 1225349525
3580 W 9000 S
West Jordan, UT 84088
(801) 561-8888
✔ PECOS✔ Accepts Medicare321 mi
David Mehr, MD
Pathology
NPI 1497795728
596 W 750 S STE 105
Bountiful, UT 84010
(801) 292-4425
✔ PECOS✔ Accepts Medicare324 mi
Kevin Maddox, DO
Pathology
NPI 1598082398
1921 STONECIPHER BLVD
Ada, OK 74820
(580) 421-4570
✔ PECOS✔ Accepts Medicare618 mi
Ashley Watson, M.D.
Pathology
NPI 1316204464
1001 SW KLICKITAT WAY SUITE 205
Seattle, WA 98134
(206) 622-7747
✔ PECOS✔ Accepts Medicare983 mi
Marissa Spino-Keeton, DO
Pathology
NPI 1295185247
350 W 11TH ST
Indianapolis, IN 46202
(317) 491-6000
✔ PECOS✔ Accepts Medicare1,059 mi
Ian Anderson, M.D.
Pathology
NPI 1669884433
22101 MOROSS RD # CCB-SB
Detroit, MI 48236
(313) 343-3520
✔ PECOS✔ Accepts Medicare1,223 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain States Pathology's NPI number?

The NPI number for Mountain States Pathology is 1548033475. It was assigned to this organization in the NPPES registry on November 2, 2023.

Where is Mountain States Pathology located?

Mountain States Pathology is located at 340 Peak One Drive, Frisco, CO 80443. The listed phone number is (970) 668-3300.

What is Mountain States Pathology's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Mountain States Pathology enrolled in Medicare?

Yes. Mountain States Pathology is registered in the Medicare PECOS enrollment system.

When is Mountain States Pathology's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Mountain States Pathology?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians, all in Pathology, reassign their Medicare billing to Mountain States Pathology. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain States Pathology was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.