Individual provider Active NPI

Gary Ghiselli, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Greenwood Village, CO
National Provider Identifier
1124011606
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
DR.0042446 Issued in CO
Practice address
7800 E Orchard Rd
Suite 100
Greenwood Village, CO 80111-2583
Phone
(303) 783-1300
Fax
(303) 783-1200
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DR.0042446 CO
Orthopaedic Surgery of the Spine Physician 207XS0117X DR.0042446 CO Primary

Addresses

Primary practice location

7800 E Orchard Rd
Suite 100
Greenwood Village, CO 80111-2583

Mailing address

7800 E Orchard Rd
Suite 100
Greenwood Village, CO 80111-2583
Phone (303) 783-1300

Other practice location 1

145 Inverness Dr E Ste 100
Englewood, CO 80112-5172
Phone (303) 697-7463

Other identifiers 5

IdentifierTypeStateIssuer
841519664006OtherCORMHMO
GH669216OtherCOBCBS
107033250101OtherCOIHC
4019320001OtherPALMETTO GBA
84151966413OtherCOPACIFICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000913 CO Practitioner - Orthopedic Surgery 3870577364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portercare Adventist Health SystemGroup PAC ID 0941110886, 770 clinicians

Practice addresses (Care Compare)

145 Inverness Dr E
Englewood, CO 80112-5171
Phone (303) 697-7463

2525 S Downing St
Denver, CO 80210-5817

2535 D S Downing St
Suite 460
Denver, CO 80210-5817
Phone (303) 744-1065

2535 S Downing St
Denver, CO 80210-5850
Phone (303) 778-5797

7750 S Broadway
260 South Denver Neurosurgery
Littleton, CO 80122-2623
Phone (303) 734-8650

Hospital & facility affiliations

  • AdventHealth Porter Hospital, Denver, CO, CCN 060064

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion169
Laminectomy or laminotomy (partial removal of spine bones)76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DR.0042446COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Impulse Neuromonitoring LLC Current Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2022 Accepting new patients
Neuro Interpretive Services LLC Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
David Wong Spine PC Orthopaedic Surgery of the Spine Past Accepting new patients
Portercare Adventist Health System Past Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

145 Inverness Dr E
Ste 100
Englewood, CO 80112
Phone (303) 697-7463

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

Interoperability endpoints

  • Direct secure messaging: garyghiselli@occllc.allscriptsdirect.net

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1124011606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 E ORCHARD RD",
            "address_2": "SUITE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112583",
            "telephone_number": "303-783-1300",
            "fax_number": "303-783-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 E ORCHARD RD",
            "address_2": "SUITE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112583",
            "telephone_number": "303-783-1300",
            "fax_number": "303-783-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Inverness Dr E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801125172",
            "country_code": "US",
            "telephone_number": "303-697-7463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHISELLI",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0042446",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "DR.0042446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RMHMO",
            "identifier": "841519664006",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "GH669216",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107033250101",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "4019320001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84151966413",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.