Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek G Leopold, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255645214

Dr. Derek G Leopold, MD is a General Surgery in Longmont, Colorado. Graduated from University of Colorado School of Medicine, Denver in 2010, 16 years ago. Practices with Poudre Valley Medical Group LLC, a 2,416-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
16
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CO
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1925 Mountain View Ave
Longmont, CO 80501-3128
Phone: (303) 776-1234
Fax: (720) 494-3107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence DR.0055469 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence TL-3704 (CO)
Surgery Physician Taxonomy 208600000X · Licence TL.0003704 (CO)

Record details

NPI number1255645214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2010
Last updated in NPPESSeptember 4, 2015
Mailing address1925 Mountain View Ave, Longmont, CO 80501-3128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2010 (16 years in practice)
Group practice Poudre Valley Medical Group Llc — 2416 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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