SPINE COLORADO PC – Orthopaedic Surgery of the Spine Physician, NPI 1083665657

SPINE COLORADO PC is a healthcare provider. based in Montrose, Colorado. specializing in Orthopaedic Surgery of the Spine Physician. The NPI Number for SPINE COLORADO PC is 1083665657

Main info

Organization
Name
SPINE COLORADO PC
NPI
1083665657
Phone
(970) 382-9500
Address
314 S 6th St
Authorized Official
KATYA LICCIARDI REIMBURSEMENT ANALYST CPC
Enumeration Date
16 May 2006
Last Update Date
2 August 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for SPINE COLORADO PC

  • 314 S 6th St

    Montrose, CO 814015719

    Phone: (970) 382-9500

    Type: Location

  • 1, Mercado Street, Durango, La Plata County, Colorado, United States

    STE 200

    DURANGO, CO 813017300

    Phone: (970) 382-9500

    Fax: (970) 375-0007

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-07-31 (50 days away).

Enrollment records

1

Earliest due date

2026-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040310001215OClinic/Group PracticeCO2026-07-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 81401)

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Reviews

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Frequently asked questions

Can I verify SPINE COLORADO PC with an NPI only?
You can start verification with NPI 1083665657 for SPINE COLORADO PC, then check state licensing separately.
Is SPINE COLORADO PC still practicing?
SPINE COLORADO PC is currently listed as active in the public NPI registry.
What is SPINE COLORADO PC's specialty?
The listing groups SPINE COLORADO PC with Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for SPINE COLORADO PC?
SPINE COLORADO PC's geographic hint is Montrose, Colorado in our summary view.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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