Policies

  • Antibiotic Policy

    We work hard to not overuse antibiotics.


    We educate families on appropriate use of antibiotics, but follow evidence-based guidelines and don’t automatically treat ear pain or a green snotty nose with antibiotics.


    We do not prescribe antibiotics over the phone as we do not believe that is good medicine. We will prescribe an antibiotic when we believe it is an appropriate treatment.

  • Appointment Policy

    Everyone's Time is Equally Valuable.


    We ask that you arrive 10-15 minutes before your scheduled appointment time. We understand sometimes things happen beyond your control that may cause you to be late. However, we reserve the right to ask you to reschedule if you arrive late for your appointment.


    Our practice makes every effort to run on time with appointments, as we believe everyone’s time is equally valuable.


    Missed Appointments: 

    In order to provide the best care to all our patients, it is essential for appointments that are scheduled to be attended. No-shows create challenges beyond the financial impact on our practice. When an appointment is missed, it takes an available time slot away from another patient who may need medical attention. To ensure better service for all, we have implemented the following policy:


    If a patient fails to show up for their scheduled appointment, a $25 fee will be applied.

    Please note that insurance companies consider this fee to be the patient’s responsibility.

  • Technology Policy

    Efficiency through the use of technology.


    You will be encouraged to consult our website, register for and use our patient portal, and effectively use automated reminders for appointments and for routine care/immunizations that are due.

  • Vaccine Policy

    As medical professionals, we feel very strongly that vaccinating children on schedule with currently available vaccines is absolutely the right thing to do for all children and young adults. We are making you aware of these facts not to scare you or coerce you, but to emphasize the importance of vaccinating your child. We are more than willing to discuss any questions you may have about vaccines, but do require all new patients to our practice to adhere to the vaccination schedule endorsed by the American Academy of Pediatrics (AAP).


    • We firmly believe in the effectiveness of vaccines to prevent serious illness and to save lives.
    • We firmly believe in the safety of our vaccines.
    • We firmly believe that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP).
    • We firmly believe, based on all available literature, evidence, and current studies, that vaccines do not cause autism or other developmental disabilities.
    • We firmly believe that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
    • We firmly believe that vaccinating children and young adults may be the single most important health promoting intervention we perform as health care providers, and that you can support as parents/caregivers.

    The recommended vaccines and the schedule of administration are the results of years and years of scientific study and data-gathering on millions of children by thousands of our brightest scientists and physicians.


    The vaccine campaign is truly a victim of its own success. It is precisely because vaccines are so effective at preventing illness that we are even discussing whether or not they should be given. Because of vaccines, many of you have never seen a child with polio, tetanus, whooping cough, bacterial meningitis, or even chickenpox, or known a friend or family member whose child died of one of these diseases. Such success can make us complacent about vaccinating. But such an attitude, if it becomes widespread, can only lead to tragic results.

  • Late Patients

    If you are more than 15 minutes late for a well-child visit, you will have to reschedule for another day/time.


    If you are more than 15 minutes late for a sick visit, we will do our best to work you back into the schedule; however, there may be a wait.

  • Walk-In Patients

    Pediatrics 5280 does not accept walk-in patients. Visits are by appointment only. The only exception is a nurse visit for flu shots during specified times of the year.

  • Add-On Patients

    Please do not ask to have your other children seen during a sibling’s appointment. If you have additional concerns about another child, please schedule that child their own appointment.

  • Nurse Visits

    Visits may be scheduled with a nurse for immunizations and certain lab draws if approved/ordered by one of our providers.  All other patient evaluation requires a visit with a provider.

  • After Hours Phone Calls

    Please limit calls after hours to emergency questions only. All routine and non-urgent calls should be directed to the office during regular office hours. There is information regarding a wide variety of illnesses and concerns, as well as many OTC medication dosages on this website under Parent Information and Is Your Child Sick.

  • Daycare/Camp/School/Sports Forms

    We are happy to fill out forms that you may need for your child that require a provider signature.  However, HIPAA laws prevent us from being able to fax them directly to your child’s daycare, camp or school. A child’s well child care must be current/up to date based on recommended schedule for providers to sign forms.

  • ADHD/ADD Follow up and Refills
    • Most ADHD/ADD medications (Concerta, Vyvanse, Adderall, Focalin, Ritalin etc.) are controlled medications.  Standing refills are not legal on controlled medications.
    •  We are willing to write a 3 month mail-in prescription if you confirm your insurance will cover it.
    •  Only your child’s primary care physician will authorize refills or new prescriptions for a controlled medication.
    •  Please request your prescription at least one week before it is needed.  There is no such thing as an emergency refill on ADHD/ADD medications.  Your child will likely go without medication if you wait too long to request a refill.
    •  Any child who is on ADHD/ADD medications is required to follow up in the office with their primary care physician at least every 3-6 months; more often if they are encountering difficulties.
    • Changes in medication or doses may require an office visit.
  • Non-Discrimination Policy

    In accordance with all applicable State and Federal Laws, Pediatrics 5280 does not discriminate against patients on the basis of race, color, national origin, sex, disability or sexual orientation.  We do, however, only care for patients up to age 22, which is based on the nature of our pediatric medical practice.

    Pediatrics 5280 Non discrimination

Notice of Rights and Protections Against Surprise Medical Billing

Starting January 1st, 2022, The No Surprises Act ensures when you receive emergency care or are treated by out-of-network providers at an in-network hospital or ambulatory center, you have certain protections from surprise/balance billing.


What is “balance billing” (sometimes known as “surprise billing”)?

When you see a health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.


“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.


“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.


Under the No Surprises Act, you are protected from balance billing for:

Emergency Services 

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections.


Certain services at an in-network hospital or ambulatory center 

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t  balance bill and may not  ask you to give up your protections.


If you receive other services at these in-network facilities, out-of-network providers can’t  balance bill you, unless you give written consent and give up those protections. You’re never required to give up your protections. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.


When balance billing isn’t allowed, you also have the following protections:

  • You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
  • Your health plan generally must:
  • Cover emergency services without requiring you to get approval for services in advance (prior authorization).
  • Cover emergency services by out-of-network providers.
  • Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in explanation of benefits.
  • Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.


Good Faith Estimate

Starting January 1, 2022, providers and facilities must provide a good faith estimate of expected charges for items and services to an uninsured (or self-pay) individual if requested.


The good faith estimate must include expected charges for the items or services that are reasonably expected to be provided together with the primary item or service.

You may request a good faith estimate for a visit by calling our office at (303) 779- 5437.


Your Responsibility

Pediatrics 5280 does not provide emergency services. It is your responsibility to check with your insurance if we are in-network, and what is covered, when receiving care in our office.


If you believe you’ve been wrongly billed, please contact our office. If you have questions about your rights under this law, you may contact:

  1. https://www.cms.gov/nosurprises/consumers
  2. HHS, in coordination with the Department of the Treasury, Department of Labor and the Office of Personnel Management, has a telephone line for individuals to submit complaints regarding potential violations of the No Surprises Act. Call: 1-800-985-3059