DR. DERIC J RACHJAIBUN MD
NPI 1902903933
Family Medicine in Northglenn, CO

Q: What is Deric Rachjaibun's NPI number?

The NPI number for Deric Rachjaibun is 1902903933. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Deric Rachjaibun's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Deric Rachjaibun was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since September 20, 2006PECOS Enrolled

11990 GRANT ST STE 110, NORTHGLENN, CO 80233(720) 928-0244(720) 928-0247 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Deric J Rachjaibun Md NPPES

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

DR. DERIC J RACHJAIBUN MD (NPI 1902903933) is an individual family medicine provider in Northglenn, Colorado, licensed in Colorado (41861) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902903933

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. DERIC J RACHJAIBUNCredential: MD

Location Address11990 GRANT ST STE 110Northglenn, CO 80233-1122

Mailing Address11990 Grant St Ste 110Northglenn, CO 80233-1122 · (720) 928-0244 · Fax (720) 928-0247

Phone(720) 928-0244

Fax(720) 928-0247

Sole ProprietorNo

Enumeration DateSeptember 20, 2006

Last NPPES UpdateApril 23, 2019

✔ NPI 1902903933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · 41861

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11990 GRANT ST STE 110, Northglenn, CO 80233

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Other Identifiers 2

Medicaid57474524CO

Medicaid31930743CO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Deric J Rachjaibun Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80233 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

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

Most-billed visit code 99214

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

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

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 suppliers17 claims17 services$68.47 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

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

LEGACY PRIMARY CARE

Clinic/Center (Primary Care)

11990 GRANT ST STE 110
NORTHGLENN, CO 80233

Adams County (720) 928-0244

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 Deric Rachjaibun's NPI number?

The NPI number for Deric Rachjaibun is 1902903933. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Deric Rachjaibun located?

Deric Rachjaibun practices at 11990 Grant St Ste 110, Northglenn, CO 80233. The listed phone number is (720) 928-0244.

What is Deric Rachjaibun's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Deric Rachjaibun enrolled in Medicare?

Yes. Deric Rachjaibun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deric Rachjaibun was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.