Bradley D. Fanestil, M.D.
NPI 1023156254ActiveIndividual· Internal Medicine· Boulder, CO
Internal Medicine (M.D.) in Boulder, Colorado, licensed in CO, with an NPI issued in February 2007. In 2024 Medicare paid $16,036 for 73 patients, and Part D covered 56 of their prescriptions, 89% of them generic.
Overview
| NPI | 1023156254 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Feb 1, 2007 |
| Last updated in NPPES | May 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | DR.0031874 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 193 across 12 procedure codes |
| Paid by Medicare | $16,036 |
Part D prescriptions in 2024
| Prescriptions (claims) | 56 · 56 30-day fills |
|---|---|
| Total drug cost | $1,382 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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