Individual provider Active NPI

Lance R. Farnworth, MD

  • Orthopaedic Surgery Physician
  • Pueblo, CO
National Provider Identifier
1174593081
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
CO39490 Issued in CO
Practice address
1919 W US Highway 50
Pueblo, CO 81008-1618
Phone
(719) 253-7102
Fax
(719) 253-7114
NPI assigned
Jan 24, 2006
Last updated
May 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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 CO39490 CO Primary

Addresses

Primary practice location

1919 W US Highway 50
Pueblo, CO 81008-1618

Mailing address

1919 W US Highway 50
Pueblo, CO 81008-1618
Phone (719) 253-7102

Other identifiers 1

IdentifierTypeStateIssuer
74079239MedicaidCO

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
I20101026001040 CO Practitioner - Orthopedic Surgery 6800866757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Nevada School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pueblo Bone and Joint Clinic LLCGroup PAC ID 0244132066, 4 clinicians

Practice addresses (Care Compare)

1919 W US Hwy 50
Pueblo, CO 81008-1618
Phone (719) 253-7102

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.58 of 100Reported as individual
Quality
79.03
Promoting interoperability
100
Improvement activities
40
Cost
69.59

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement12
Knee replacement26
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
CO39490COMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo Bone and Joint Clinic LLC Orthopaedic Surgery CurrentSince Aug 1, 2001 Accepting new patients

Locations

1919 W US Highway 50
Pueblo, CO 81008
Phone (719) 253-7102

Organizations & group practices 1

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 4

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1174593081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 W US HIGHWAY 50",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081618",
            "telephone_number": "719-253-7102",
            "fax_number": "719-253-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNWORTH",
        "first_name": "LANCE",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "CO39490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74079239",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.