DOUGLAS A FOULK MD
NPI 1902868987
Orthopaedic Surgery - Sports Medicine in Golden, CO

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
660 GOLDEN RIDGE RD, SUITE 250, GOLDEN, CO 80401(303) 233-1223(303) 233-8755 Get Directions Write a Review

NPPES record last updated: February 14, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas A Foulk Md NPPES

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

DOUGLAS A FOULK MD (NPI 1902868987) is an individual sports medicine provider in Golden, Colorado, licensed in Colorado (35615) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nebraska College Of Medicine (1988).

NPPES Registry Identity

NPI1902868987
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDOUGLAS A FOULKCredential: MD
Location Address660 GOLDEN RIDGE RD, SUITE 250Golden, CO 80401-9541
Mailing Address660 Golden Ridge Rd, Suite 250Golden, CO 80401-9541 · (303) 233-1223 · Fax (303) 233-8755
Fax(303) 233-8755
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1988
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 14, 2017
NPI 1902868987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in CO · 35615
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35615 (CO)
660 GOLDEN RIDGE RD, Golden, CO 80401

Other Identifiers 3

Medicare UPINF62439
Medicaid01356153CO
Medicare ID-Type Unspecified492618

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

Douglas A Foulk Md 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 ID8325930514
PECOS Enrollment IDI20101213000595
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 12

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
264 services47 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.
104 services75 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
91 services77 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.
67 services56 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
55 services47 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability90
Improvement Activities40
Cost66.41

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$83.68 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 20

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

Specialist/Technologist (Athletic Trainer)
660 GOLDEN RIDGE RD, STE 130
GOLDEN, CO 80401
Orthopaedic Surgery (Sports Medicine)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physician Assistant (Surgical)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Occupational Therapist
660 GOLDEN RIDGE RD, STE. 250
GOLDEN, CO 80401
Orthopaedic Surgery
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physical Therapist
660 GOLDEN RIDGE RD, STE 130
GOLDEN, CO 80401

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 Douglas Foulk's NPI number?

The NPI number for Douglas Foulk is 1902868987. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Douglas Foulk located?

Douglas Foulk practices at 660 Golden Ridge Rd Suite 250, Golden, CO 80401. The listed phone number is (303) 233-1223.

What is Douglas Foulk's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Douglas Foulk enrolled in Medicare?

Yes. Douglas Foulk 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 Douglas Foulk accept?

Health plans from UnitedHealthcare list Douglas Foulk 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 Douglas Foulk was last updated on February 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.