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JOHN ROBERT CAMPBELL PAC
NPI 1669575452
Physician Assistant in Boulder, CO

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
2880 FOLSOM ST, SUITE 100, BOULDER, CO 80304(303) 327-7047(303) 443-7168 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John Robert Campbell Pac NPPES

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

JOHN ROBERT CAMPBELL PAC (NPI 1669575452) is an individual physician assistant in Boulder, Colorado, licensed in Colorado (1215) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ivinson Memorial Hospital, and is a graduate of Emory University School Of Medicine (1999).

NPPES Registry Identity

NPI1669575452
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN ROBERT CAMPBELLCredential: PAC
Location Address2880 FOLSOM ST, SUITE 100Boulder, CO 80304-3739
Mailing Address2880 Folsom St, Suite 100Boulder, CO 80304-3739 · (303) 237-7047 · Fax (303) 443-7168
Phone(303) 327-7047
Fax(303) 443-7168
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1999
Enumeration DateSeptember 6, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1669575452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1215
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.
2880 FOLSOM ST, Boulder, CO 80304
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Other Identifiers 2

OtherP00377349CO · Railroad Medicare
Medicaid52004082CO

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

John Robert Campbell Pac 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 ID547363731
PECOS Enrollment IDI20070308000177
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 9

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.
738 services247 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
199 services120 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.
81 services67 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.
67 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
65 services65 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
61 services47 patients

Hospital Affiliations CMS Care Compare

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

Ivinson Memorial Hospital

Acute Care Hospitals · Laramie, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530025
Location255 N 30thLaramie, WY 82072 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80304 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$5.15 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers17 claims17 services$29.64 avg. paid by Medicare
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 suppliers24 claims24 services$88.14 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.47 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
1 supplier11 claims660 services$0.81 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 5

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

BOULDER INTERNAL MEDICINE PC
Internal Medicine
2880 FOLSOM ST, SUITE 100
BOULDER, CO 80304
Boulder County (303) 443-7226
MOUNTAIN WEST DIALYSIS SERVICES LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2880 FOLSOM ST, STE 110
BOULDER, CO 80304
Boulder County (303) 440-5600
TOTAL RENAL CARE OF COLORADO INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2880 FOLSOM ST, STE 110
BOULDER, CO 80304
Boulder County (303) 440-5600
WILLIAM LAWSON BLANCHET MD
Internal Medicine
2880 FOLSOM ST, SUITE 100
BOULDER, CO 80304
Boulder County (303) 327-7047
GOOSE CREEK PHARMACY
Pharmacist
2880 FOLSOM ST
BOULDER, CO 80304
Boulder County (303) 440-4200

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 John Campbell's NPI number?

The NPI number for John Campbell is 1669575452. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is John Campbell located?

John Campbell practices at 2880 Folsom St Suite 100, Boulder, CO 80304. The listed phone number is (303) 327-7047.

What is John Campbell's specialty?

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

Is John Campbell enrolled in Medicare?

Yes. John Campbell 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.

Is John Campbell affiliated with any hospitals?

According to CMS data, John Campbell is affiliated with Ivinson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Campbell was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.