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

Dr. Nicole M. Annest, MD

Individual provider Dermatology Physician · NPI 1205842051

Dr. Nicole M. Annest, MD practises Dermatology in Lafayette, Colorado. Graduated from University of Colorado School of Medicine, Denver in 2002, 24 years ago. Practices with Epiphany Dermatology of New Mexico, LLC, a 30-clinician group and accepts Medicare assignment. Licensed in California and Colorado.

Years since qualifying
24
Trained at
University of Colorado School of Medicine, Denver
Licensed in
CA, CO
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

280 Exempla Cir
Lafayette, CO 80026-3370
Phone: (303) 338-4545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0045549 (CO)
Dermatology Physician Taxonomy 207N00000X · Licence A94628 (CA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence A94628 (CA)

Record details

NPI number1205842051
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 1, 2006
Last updated in NPPESMay 6, 2021
Certification dateMay 6, 2021

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduated 2002 (24 years in practice)
Group practice Epiphany Dermatology Of New Mexico, Llc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Melanoma (skin cancer) excision 59 times · 88th percentile
Removal of skin cancer 764 times · 77th percentile
Removal of skin lesions 23 times · 66th percentile
Skin biopsy 22 times · 64th percentile
Removal of tissue 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients140
Services billed 354 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $164 7 payments · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Epiphany Dermatology of New Mexico, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 30 clinicians in the practice; 12 are shown here.

Other providers in Lafayette