1. Home
  2. Directory
  3. Colorado
  4. Boulder
  5. Physician Assistant
  6. NPI Profile

DANIEL FETTIG PA
NPI 1720747934
Physician Assistant in Boulder, CO

Active since December 15, 2021PECOS EnrolledAccepts Medicare Assignment
5387 MANHATTAN CIR STE 201, BOULDER, CO 80303(303) 494-2707 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Fettig Pa NPPES

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

DANIEL FETTIG PA (NPI 1720747934) is an individual physician assistant in Boulder, Colorado, licensed in Colorado (0006373) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2020).

NPPES Registry Identity

NPI1720747934
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDANIEL FETTIGCredential: PA
Location Address5387 MANHATTAN CIR STE 201Boulder, CO 80303-4283
Mailing Address10449 Garland DrWestminster, CO 80021-7355 · (303) 653-4375
Phone(303) 494-2707
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2020
Enumeration DateDecember 15, 2021
NPPES CertifiedDecember 15, 2021
✔ NPI 1720747934 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 · 0006373
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.
5387 MANHATTAN CIR STE 201, Boulder, CO 80303
Open in Google Maps ↗

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

Daniel Fettig Pa 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 ID1951794007
PECOS Enrollment IDI20220214000177
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 11

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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
4,501 services11 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
362 services16 patients
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.
262 services22 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
190 services14 patients
Injection of anesthetic agent and/or steroid into face nerve 64400
This procedure involves injecting a numbing agent and/or steroid into a facial nerve. It's typically done to relieve pain or inflammation. The injection targets specific nerves, helping to decrease discomfort and promote healing.
151 services12 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
148 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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.

Other Providers at the Same Location NPPES 2

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

HALEY KERSHAW PA-C
Physician Assistant
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303
Boulder County (303) 494-2705
NATALIE GARNER
Physician Assistant
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303
Boulder County (303) 494-2705

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 Daniel Fettig's NPI number?

The NPI number for Daniel Fettig is 1720747934. It was assigned to this individual provider in the NPPES registry on December 15, 2021.

Where is Daniel Fettig located?

Daniel Fettig practices at 5387 Manhattan Cir Ste 201, Boulder, CO 80303. The listed phone number is (303) 494-2707.

What is Daniel Fettig's specialty?

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

Is Daniel Fettig enrolled in Medicare?

Yes. Daniel Fettig 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.

When was this NPI record last updated?

The NPPES record for Daniel Fettig was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.