GARY M ATHERHOLT JR. MSPA-C, BSRT(R)
NPI 1609120617
Physician Assistant in Aurora, CO

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 14, 2026, Dec 27, 2019, Oct 21, 2019 (3 updates tracked since 2019).

About Gary M Atherholt Jr. Mspa-c, Bsrt(r) NPPES

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

GARY M ATHERHOLT JR. MSPA-C, BSRT(R) (NPI 1609120617) is an individual physician assistant in Aurora, Colorado, licensed in Colorado (5161) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Oak Hill Hospital, and maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1609120617
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameGARY M ATHERHOLT JR.Credential: MSPA-C, BSRT(R)
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 30, 2012
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1609120617 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
Licenses Licensed in CO · 5161 Licensed in AZ · 10216
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 MA056314 (PA)
12605 E 16TH AVE, Aurora, CO 80045

Secondary Practice Location 1

Location 1799 E Hampden Ave Ste 400Englewood, CO 80113-2766 · Phone (303) 789-2663

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

Gary M Atherholt Jr. Mspa-c, Bsrt(r) 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 ID1254583016
PECOS Enrollment IDI20241022001380
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.

Hospital Affiliations CMS Care Compare

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

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100264
Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045

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 Gary Atherholt's NPI number?

The NPI number for Gary Atherholt is 1609120617. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Gary Atherholt located?

Gary Atherholt practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Gary Atherholt's specialty?

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

Is Gary Atherholt enrolled in Medicare?

Yes. Gary Atherholt 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 Gary Atherholt accept?

Health plans from Blue Cross Blue Shield of Arizona, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Gary Atherholt 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 Gary Atherholt affiliated with any hospitals?

According to CMS data, Gary Atherholt is affiliated with Hca Florida Oak Hill Hospital.

When was this NPI record last updated?

The NPPES record for Gary Atherholt was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.