DR. SETH TEBOCKHORST M.D. NPI 1639312192

NPI Information

  • NPI: 1639312192
  • Provider Name: DR. SETH TEBOCKHORST, M.D.
  • Classification: Plastic Surgery - 2082S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1601 29TH ST. SUITE 1292
    #1255
    BOULDER, CO
    ZIP 80301
  • Phone: (303) 900-8946

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NPI Details

DR. Seth Tebockhorst, M.D. is a surgery of the hand plastic surgery in Boulder, CO with 16 years of experience. The provider is a plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Seth Tebockhorst, M.D. NPI is 1639312192. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1601 29TH ST. SUITE 1292
#1255
BOULDER, CO
ZIP 80301-010
Phone: (303) 900-8946

The NPI 1639312192 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)

The enumeration date for this NPI number is 4/14/2009 and was last updated on 10/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0106XOrthopaedic SurgeryHand Surgery21498NORTH DAKOTANo
2207XS0106XOrthopaedic SurgeryHand SurgeryCDRH.0054213COLORADONo
3208200000XPlastic SurgeryCDRH.0054213COLORADONo
42086S0105XSurgerySurgery of the HandCDRH.0054213COLORADONo
52082S0105XPlastic SurgerySurgery of the HandCDRH.0054213COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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