Individual provider Active NPI

Justin B Ledesma, MD

  • Orthopaedic Surgery Physician
  • Golden, CO
National Provider Identifier
1467743682
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
CDR.0002960 Issued in CO
Practice address
660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone
(303) 587-3061
Fax
(303) 233-8755
NPI assigned
Apr 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60995376 WA
Orthopaedic Surgery Physician 207X00000X 54240 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X 54240 AZ
Orthopaedic Surgery of the Spine Physician 207XS0117X MD60995376 WA
Orthopaedic Surgery Physician 207X00000X CDR.0002960 CO Primary

Addresses

Primary practice location

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541

Mailing address

660 Golden Ridge Rd Ste 250
Golden, CO 80401-9541
Phone (303) 233-1223

Other practice location 1

5228 W Plano Pkwy
Plano, TX 75093-5005
Phone (972) 250-5700

Other identifiers 1

IdentifierTypeStateIssuer
267891MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230821003323 CO Practitioner - Orthopedic SurgeryPractitioner - Neurosurgery 6800180514 Reassigns benefits to 1 organization
I20250709000632 NY Practitioner - Orthopedic Surgery 6800180514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Spine Medicine and Surgery PLLCGroup PAC ID 0941614341, 7 clinicians

Practice addresses (Care Compare)

640 Hawkins Ave
Ronkonkoma, NY 11779-2324
Phone (631) 730-7970

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
96.09
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122076CAMDMarriage & Family Therapist
54240AZMDOrthopaedic Surgery Physician
MD60995376WAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Orthopaedic Surgery Current Accepting new patients
Panorama Orthopedics & Spine Center, PC Orthopaedic Surgery CurrentSince Oct 7, 2023 Accepting new patients
New York Spine Medicine and Surgery PLLC Orthopaedic Surgery of the Spine CurrentSince May 4, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Oct 7, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Oct 7, 2023 Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

285 Sills Rd
Bldg 5-6G
East Patchogue, NY 11772
Phone (631) 654-0335

700 Stewart Ave
Ste 203
Garden City, NY 11530
Phone (631) 730-7970

640 Hawkins Ave
Ronkonkoma, NY 11779
Phone (631) 737-0100

Organizations & group practices 5

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 2

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": "1303344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1467743682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-233-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 GOLDEN RIDGE RD STE 250",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804019541",
            "telephone_number": "303-587-3061",
            "fax_number": "303-233-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5228 W Plano Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935005",
            "country_code": "US",
            "telephone_number": "972-250-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "JUSTIN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-21",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60995376",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "54240",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "AZ",
            "license": "54240",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD60995376",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "CDR.0002960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267891",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.