STEVEN DOUGLAS PETTYPOOL CRNA
NPI 1962735308
Nurse Anesthetist, Certified Registered in Fort Collins, CO

Active since September 17, 2009PECOS Enrolled
97.58/100
CMS Quality Rating
3702 AUTOMATION WAY STE 103, FORT COLLINS, CO 80525(970) 224-2985(970) 223-1118 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Steven Douglas Pettypool Crna NPPES

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

STEVEN DOUGLAS PETTYPOOL CRNA (NPI 1962735308) is an individual nurse anesthetist, certified registered in Fort Collins, Colorado, licensed in Colorado (C-APN.0001016-C-CRNA) and active in the NPI registry since September 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962735308
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSTEVEN DOUGLAS PETTYPOOLCredential: CRNA
Location Address3702 AUTOMATION WAY STE 103Fort Collins, CO 80525-5738
Mailing Address3702 Automation Way Ste 103Fort Collins, CO 80525-5738 · (970) 224-2985 · Fax (970) 223-1118
Fax(970) 223-1118
Sole ProprietorNo
Enumeration DateSeptember 17, 2009
Last NPPES UpdateAugust 28, 2019
✔ NPI 1962735308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CO · C-APN.0001016-C-CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3702 AUTOMATION WAY STE 103, Fort Collins, CO 80525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Steven Douglas Pettypool Crna 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Steven Pettypool reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
3702 AUTOMATION WAY STE 103
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 250 clinicians in this Medicare group
Gastroenterology
3702 S TIMBERLINE RD
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • 67 clinicians in this Medicare group
Anesthesiology
4700 LADY MOON DR
Fort Collins, CO 80528
  • Reassigned Medicare billing, Colorado enrollment
  • 107 clinicians in this Medicare group
General Practice
2695 ROCKY MOUNTAIN AVE STE 110
Loveland, CO 80538
  • Reassigned Medicare billing, Colorado enrollment
  • 2,596 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Anesthesiology
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Anesthesiology
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Nurse Anesthetist, Certified Registered
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Anesthesiology
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Nurse Anesthetist, Certified Registered
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Anesthesiology
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525
Anesthesiology
3702 AUTOMATION WAY STE 103
FORT COLLINS, CO 80525

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 Steven Pettypool's NPI number?

The NPI number for Steven Pettypool is 1962735308. It was assigned to this individual provider in the NPPES registry on September 17, 2009.

Where is Steven Pettypool located?

Steven Pettypool practices at 3702 Automation Way Ste 103, Fort Collins, CO 80525. The listed phone number is (970) 224-2985.

What is Steven Pettypool's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Steven Pettypool enrolled in Medicare?

Yes. Steven Pettypool is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Steven Pettypool's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Pettypool reassigns Medicare benefits to 4 organizations: Northern Colorado Anesthesia Professionals PLLC (Fort Collins, CO), Centers For Gastroenterology (Fort Collins, CO), Rocky Mountain State Anesthesia Providers (Fort Collins, CO) and Poudre Valley Medical Group, LLC (Loveland, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Pettypool's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Steven Pettypool was last updated on August 28, 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.