Great Basin Orthopaedics – Orthopaedic Surgery Physician, NPI 1497891568

Great Basin Orthopaedics is a healthcare provider. based in Reno, Nevada. specializing in Orthopaedic Surgery Physician. The NPI Number for Great Basin Orthopaedics is 1497891568

Main info

Organization
Name
Great Basin Orthopaedics
NPI
1497891568
Phone
(775) 786-1600
Address
9480 DOUBLE DIAMOND PKWY STE 100
Authorized Official
THOMAS M FYDA PRESIDENT
Enumeration Date
29 January 2007
Last Update Date
30 May 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Great Basin Orthopaedics

  • Double Diamond Parkway, Reno, Washoe County, Nevada, 89521, United States

    RENO, NV 895215844

    Phone: (775) 786-1600

    Fax: (775) 786-7706

    Mailing address matches the actual address.

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: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (893 days ago).

Enrollment records

2

Earliest due date

2023-12-31

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
O20040630000118OClinic/Group PracticeNVTBD
O20100930049855OPhysician - Orthopedic/Orthopedic SurgeryNV2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 89521)

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Reviews

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Frequently asked questions

What is Great Basin Orthopaedics's NPI number?
Great Basin Orthopaedics's NPI is 1497891568 — the number used across U.S. healthcare to identify this provider.
Is Great Basin Orthopaedics still an active registrant?
Great Basin Orthopaedics carries an active NPI according to the public dataset.
What expertise is attributed to Great Basin Orthopaedics?
Great Basin Orthopaedics's specialty line reads Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Great Basin Orthopaedics?
Directory geography for Great Basin Orthopaedics centers on Reno, Nevada.
When was this NPI issued?
Enumeration for Great Basin Orthopaedics is noted as January 29, 2007 where the registry provides it.

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