Active NPI
Marc J Philippon, MD
- Orthopaedic Surgery Physician
- Vail, CO
National Provider Identifier
1376582486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 43239
- Practice address
- 181 W Meadow Dr Ste 400
Vail, CO 81657-5058 - Phone
- (970) 476-1100
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 43239 | CO | |
| Orthopaedic Trauma Physician | 207XX0801X | 43239 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | 43239 | CO | Primary |
Addresses
Primary practice location
181 W Meadow Dr Ste 400
Vail, CO 81657-5058
Mailing address
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone (970) 476-1100
Other practice location 1
2801 NW 79th Ave
Doral, FL 33122-1174
Phone (786) 466-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2016 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43239 | CO | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadman Clinic Professional LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Steadman Clinic Professional LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- mphilippon@tsc.emadirect.md
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1376582486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 W MEADOW DR",
"address_2": "SUITE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 W MEADOW DR STE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575058",
"telephone_number": "970-476-1100"
}
],
"practiceLocations": [
{
"address_1": "2801 NW 79th Ave",
"address_purpose": "LOCATION",
"city": "Doral",
"state": "FL",
"postal_code": "331221174",
"country_code": "US",
"telephone_number": "786-466-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILIPPON",
"first_name": "MARC",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "43239",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CO",
"license": "43239",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "43239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.