Unknown Individual – Orthopaedic Surgery of the Spine Physician, NPI 1134447121

Unknown Individual is a healthcare provider. based in Aurora, Colorado. specializing in Orthopaedic Surgery of the Spine Physician. They hold a License No. DR.0057180 (CO). The NPI Number for Unknown Individual is 1134447121

Main info

Organization
Inactive
16 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1134447121
Phone
(303) 695-6060
Address
1411 S POTOMAC STREET
Deactivation Date
29 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036956060
Graduation Year
2010 (16 years ago)
PAC ID
1951547728
Group Practice PAC ID
2365714540
Professional Enrollment ID
I20160919000913
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1411 S POTOMAC STREET

    SUITE 400

    AURORA, CO 80012

    Phone: (303) 695-6060

    Fax: (303) 416-4324

    Type: Mailing

  • 1411 S POTOMAC ST

    SUITE 400

    AURORA, CO 800124536

    Phone: (303) 695-6060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2023-09-20 • Largest payer in this snapshot: Stryker Corporation ($150).

Total Amount

$194

General + Research + Ownership

Payments

3

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes357250$0
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion9650$0
72100X-ray of lower and sacral spine, 2-3 views8364$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
72110X-ray of lower and sacral spine, minimum of 4 views4747$0
View full utilization report →

Insurance plans in this area (ZIP 80012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365714540View full group profile
NameSpecialtyState
-CO
-VA
Physical Therapist In Private PracticeCO
Occupational Therapist In Private PracticeTX
Physician AssistantCO
Physician AssistantCO
Orthopedic SurgeryCO
-CO
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeCO

Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1134447121.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Aurora?
Unknown Individual currently maps to Aurora, Colorado in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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