Individual provider Active NPI

Christopher Kelly Bynum, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Montrose, CO
National Provider Identifier
1134112345
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
40526 Issued in CO
Practice address
910 S 4TH St
Montrose, CO 81401-4226
Phone
(970) 249-6641
Fax
(970) 249-5148
NPI assigned
Aug 24, 2005
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 40526 CO Primary

Addresses

Primary practice location

910 S 4TH St
Montrose, CO 81401-4226

Mailing address

910 S 4TH St
Montrose, CO 81401-4226
Phone (970) 249-6641

Other identifiers 1

IdentifierTypeStateIssuer
62858521MedicaidCO

Other names 1

  • C. Kelly Bynum Other name

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
I20060808000466 CO Practitioner - Orthopedic Surgery 8921039298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Colorado School of Medicine, Denver, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Slope OrthopaedicsGroup PAC ID 2062480155, 8 clinicians

Practice addresses (Care Compare)

910 S 4TH St
Montrose, CO 81401-4226
Phone 97024966411009

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.71 of 100Reported as group
Quality
62.82
Improvement activities
40
Cost
75.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40526COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Slope Orthopaedics CurrentSince Jun 1, 2006 Accepting new patients
Western Slope Orthopaedics Sports Medicine CurrentSince Jun 1, 2006 Accepting new patients
Rocky Mountain Orthopaedic Associates PC Past Accepting new patients
Black Canyon Surgical Center, LLC Past Accepting new patients

Locations

3330 S Rio Grande Ave
Montrose, CO 81401
Phone (970) 240-7314

910 S 4th St
Montrose, CO 81401
Phone (970) 249-6641

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHBHDD/Endpoint/GHBHDD

Organizations & group practices 4

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

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1134112345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S 4TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014226",
            "telephone_number": "970-249-6641",
            "fax_number": "970-249-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S 4TH ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014226",
            "telephone_number": "970-249-6641",
            "fax_number": "970-249-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYNUM",
        "first_name": "CHRISTOPHER",
        "middle_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "40526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62858521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "BYNUM",
            "middle_name": "KELLY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montrose, CO

Sources for this page

Verify at the official NPI Registry.