KELLY MORGENSTEIN PAC
NPI 1912921487
Physician Assistant - Medical in Boulder, CO

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
4820 RIVERBEND RD STE 100, BOULDER, CO 80301(303) 415-5399(303) 297-5808 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2024, Sep 29, 2022 (2 updates tracked since 2022).

About Kelly Morgenstein Pac NPPES

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

KELLY MORGENSTEIN PAC (NPI 1912921487) is an individual medical provider in Boulder, Colorado, licensed in Colorado (PA.0004936) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1912921487
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKELLY MORGENSTEINCredential: PAC
Location Address4820 RIVERBEND RD STE 100Boulder, CO 80301-2618
Mailing AddressPo Box 9049Boulder, CO 80301-9049 · (303) 415-5399 · Fax (303) 297-5808
Fax(303) 297-5808
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
NPI 1912921487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses Licensed in CO · PA.0004936 Licensed in GA · 3643
4820 RIVERBEND RD STE 100, Boulder, CO 80301

Secondary Practice Locations 2

Location 11100 Lake Hearn Dr, Ste 450Atlanta, GA 30342 · Phone (404) 252-7339 · Fax (404) 257-0337
Location 21000 W South Boulder Rd Ste 214CLafayette, CO 80026-2089 · Phone (303) 415-5399 · Fax (303) 297-5808

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

Kelly Morgenstein 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 ID6608168240
PECOS Enrollment IDI20170614001085
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 5

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.
152 services112 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.
99 services70 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.
69 services60 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.
44 services44 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%261 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
15%269 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%266 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%269 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
6%269 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
29%269 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers290 claims290 services$38.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier82 claims82 services$88.60 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier92 claims194 services$33.38 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers154 claims768 services$19.24 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers111 claims563 services$15.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
10 suppliers236 claims236 services$58.29 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 8

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

Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Nurse Practitioner (Family)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Internal Medicine (Pulmonary Disease)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301
Clinic/Center (Medical Specialty)
4820 RIVERBEND RD STE 100
BOULDER, CO 80301

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 Kelly Morgenstein's NPI number?

The NPI number for Kelly Morgenstein is 1912921487. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Kelly Morgenstein located?

Kelly Morgenstein practices at 4820 Riverbend Rd Ste 100, Boulder, CO 80301. The listed phone number is (303) 415-5399.

What is Kelly Morgenstein's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kelly Morgenstein enrolled in Medicare?

Yes. Kelly Morgenstein 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 Kelly Morgenstein accept?

Health plans from UnitedHealthcare list Kelly Morgenstein 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 Kelly Morgenstein was last updated on July 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.