1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Dentist
  6. NPI Profile

BRADLEY PACKER D.M.D
NPI 1679966550
Dentist in Fort Collins, CO

Active since March 16, 2015Opted out of Medicare · through Feb 18, 2027
3506 LOCHWOOD DR STE A, FORT COLLINS, CO 80525(970) 377-2557 Get Directions Write a Review

NPPES record last updated: August 19, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Packer D.m.d NPPES

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

BRADLEY PACKER D.M.D (NPI 1679966550) is an individual dentist in Fort Collins, Colorado, licensed in Colorado (DEN.00202833) and active in the NPI registry since March 2015. He has opted out of Medicare through February 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1679966550
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameBRADLEY PACKERCredential: D.M.D
Location Address3506 LOCHWOOD DR STE AFort Collins, CO 80525-2995
Mailing Address5917 Cross Creek DrFort Collins, CO 80528-3152 · (507) 269-6620
Phone(970) 377-2557
Sole ProprietorNo
Enumeration DateMarch 16, 2015
Last NPPES UpdateAugust 19, 2020
NPPES CertifiedAugust 19, 2020
✔ NPI 1679966550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CO · DEN.00202833
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3506 LOCHWOOD DR STE A, Fort Collins, CO 80525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradley Packer D.m.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 18, 2021 through February 18, 2027.

Opt-Out Effective DateFebruary 18, 2021
Opt-Out In Effect ThroughFebruary 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80525 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.

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 Bradley Packer's NPI number?

The NPI number for Bradley Packer is 1679966550. It was assigned to this individual provider in the NPPES registry on March 16, 2015.

Where is Bradley Packer located?

Bradley Packer practices at 3506 Lochwood Dr Ste A, Fort Collins, CO 80525. The listed phone number is (970) 377-2557.

What is Bradley Packer's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Bradley Packer enrolled in Medicare?

No. Bradley Packer has opted out of Medicare through February 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Bradley Packer accept?

Health plans from Humana list Bradley Packer 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.

When was this NPI record last updated?

The NPPES record for Bradley Packer was last updated on August 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.