Individual provider Active NPI

Gregg A. Koldenhoven, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Longmont, CO
National Provider Identifier
1396740411
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
DR.0039636 Issued in CO
Practice address
1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone
(303) 772-1600
Fax
(970) 493-0521
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X DR.0039636 CO
Orthopaedic Surgery Physician 207X00000X DR0039636 CO
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X DR.0039636 CO Primary

Addresses

Primary practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Mailing address

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Other practice location 1

300 Exempla Cir Ste 200
Lafayette, CO 80026-3391
Phone (303) 772-1600

Other practice location 2

13559 Huron St Ste 201
Westminster, CO 80234-1163
Phone (303) 772-1600

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
I20060309000196 CO Practitioner - Orthopedic Surgery 5991712374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic and Spine Center of the Rockies PCGroup PAC ID 0244126365, 145 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone (303) 772-1600

730 14TH St SW
Suite 200
Loveland, CO 80537-6349
Phone (970) 663-0815

Hospital & facility affiliations

  • Alliant Home Health LLC Home health agency, Wesminster, CO, CCN 067181
  • Longs Peak Hospital Hospital, Longmont, CO, CCN 060128
  • Longmont United Hospital Hospital, Longmont, CO, CCN 060003
  • Good Samaritan Medical Center LLC Hospital, Lafayette, CO, CCN 060116

Merit-based Incentive Payment System (MIPS)

Final score
74.72 of 100Reported as group
Quality
70.39
Promoting interoperability
71
Improvement activities
40
Cost
69.52

Merit-based Incentive Payment System (MIPS)

Final score
86.12 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0039636COMDOrthopaedic Surgery Physician
DR.0039636COMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Spine Center of the Rockies PC Orthopaedic Surgery CurrentSince Mar 12, 2020 Accepting new patients

Locations

2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441

300 Exempla Cir
Ste 200
Lafayette, CO 80026
Phone (970) 378-4433

1610 Dry Creek Dr
Ste 200
Longmont, CO 80503
Phone (303) 722-1600

1610 Dry Creek Dr
Ste 100
Longmont, CO 80503
Phone (720) 494-3200

1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750

13559 Huron St
Ste 201
Westminster, CO 80234

Interoperability endpoints

  • Direct secure messaging: greggkoldenhoven@fro.allscriptsdirect.net

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 and National Provider Directory roles.

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1396740411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "303-772-1600",
            "fax_number": "970-493-0521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Exempla Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263391",
            "country_code": "US",
            "telephone_number": "303-772-1600",
            "fax_number": "303-772-9317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13559 Huron St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802341163",
            "country_code": "US",
            "telephone_number": "303-772-1600",
            "fax_number": "303-772-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLDENHOVEN",
        "first_name": "GREGG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0039636",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR0039636",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CO",
            "license": "DR.0039636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.