NPIMap

Individual provider Active NPI

Mark S Fitzgerald, MD

  • Orthopaedic Surgery Physician
  • Lone Tree, CO
National Provider Identifier
1124199682
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
45113 Issued in CO
Practice address
9777 S Yosemite St
Suite 220
Lone Tree, CO 80124-3191
Phone
(303) 699-7325
Fax
(303) 699-5486
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 45113 CO Primary

Addresses

Primary practice location

9777 S Yosemite St
Suite 220
Lone Tree, CO 80124-3191

Mailing address

9777 S Yosemite St
Suite 220
Lone Tree, CO 80124-3191
Phone (303) 699-7325

Other identifiers 1

IdentifierTypeStateIssuer
57272743MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070330000238 CO Practitioner - Orthopedic Surgery 8426152471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

10470 S Progress Way
Unit 104
Parker, CO 80134-4037
Phone (303) 617-4700

145 Inverness Dr E
220 Ahmg Peak Orthopedics and Spine at Inve
Englewood, CO 80112-5172
Phone (303) 699-7325

Hospital & facility affiliations

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

Merit-based Incentive Payment System (MIPS)

Final score
43.24 of 100Reported as group
Quality
73.53
Promoting interoperability
0
Improvement activities
0
Cost
70.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45113COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Orthopaedic Surgery CurrentSince Jan 1, 2024 Accepting new patients
Peak Surgical Center, LLC Orthopaedic Surgery Current Accepting new patients
Portercare Adventist Health System CurrentSince Jan 1, 2024 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Healthone Clinic Services-Surgical Specialties LLC 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 220
Englewood, CO 80112
Phone (303) 369-6060

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

11 W Dry Creek Cir
Ste 120
Littleton, CO 80120
Phone (303) 951-8100

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1124199682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "SUITE 220",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-699-7325",
            "fax_number": "303-699-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 S YOSEMITE ST",
            "address_2": "SUITE 220",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801243191",
            "telephone_number": "303-699-7325",
            "fax_number": "303-699-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "45113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57272743",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.