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MR. DARRELL JOSEPH CREEKMORE PA-C
NPI 1972043396
Physician Assistant in Boulder, CO

Active since March 03, 2017PECOS Enrolled
777 29TH ST STE 301, BOULDER, CO 80303(303) 440-8243(303) 440-0292 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Darrell Joseph Creekmore Pa-c NPPES

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

MR. DARRELL JOSEPH CREEKMORE PA-C (NPI 1972043396) is an individual physician assistant in Boulder, Colorado, licensed in Colorado (PA.0007469) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972043396
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DARRELL JOSEPH CREEKMORECredential: PA-C
Location Address777 29TH ST STE 301Boulder, CO 80303-2316
Mailing Address777 29th St Ste 301Boulder, CO 80303-2316 · (303) 440-8243 · Fax (303) 440-0292
Phone(303) 440-8243
Fax(303) 440-0292
Sole ProprietorNo
Enumeration DateMarch 3, 2017
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1972043396 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 · PA.0007469
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.
777 29TH ST STE 301, Boulder, CO 80303
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Darrell Joseph Creekmore Pa-c 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 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 3

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

NATALIE MANNON IBRAHIM PA-C
Physician Assistant
777 29TH ST STE 301
BOULDER, CO 80303
Boulder County (303) 440-8243
PATRICIA WYNN HENMAN PA-C
Physician Assistant (Medical)
777 29TH ST STE 301
BOULDER, CO 80303
Boulder County (303) 440-8243
AMANDA MASEK DOETSCH PA-C
Physician Assistant
777 29TH ST STE 301
BOULDER, CO 80303
Boulder County (303) 440-8243

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 Darrell Creekmore's NPI number?

The NPI number for Darrell Creekmore is 1972043396. It was assigned to this individual provider in the NPPES registry on March 3, 2017.

Where is Darrell Creekmore located?

Darrell Creekmore practices at 777 29th St Ste 301, Boulder, CO 80303. The listed phone number is (303) 440-8243.

What is Darrell Creekmore's specialty?

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

Is Darrell Creekmore enrolled in Medicare?

Yes. Darrell Creekmore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Darrell Creekmore was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.