Justin B. Rydberg, P.A.
NPI 1467788448ActiveIndividual· Physician Assistant, Medical· Lafayette, CO
Physician Assistant, Medical (P.A.) with Colorado Permanente Medical Group PC and 1 other group, practicing in Lafayette, Colorado. Part D covered 112 prescriptions written in 2024, 98% of them generic. Lists Boulder Community Health as a hospital affiliation.
Overview
| NPI | 1467788448 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Oct 26, 2009 |
| Last updated in NPPES | Oct 12, 2026 |
| Certified by provider | Oct 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | PA.0002906 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CO) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 112 · 112 30-day fills |
|---|---|
| Patients | 83 |
| Total drug cost | $1,033 |
| Generic share | 98% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Colorado Permanente Medical Group PCDenver, CO · 1,327 clinicians
- Boulder Community HealthBoise, ID · 264 clinicians
Hospital affiliation
- Boulder Community HealthBoulder, CO
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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