Active NPI
Thomas R Hackett, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- Vail, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 42914
- Practice address
- 181 W Meadow Dr
Suite 400
Vail, CO 81657-5242 - Phone
- (970) 476-1100
- NPI assigned
- May 22, 2006
- Last updated
- Dec 19, 2013
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 42914 | CO | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 42914 | CO | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 42914 | CO |
Addresses
Primary practice location
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
Suite 400
Vail, CO 81657-5242
Phone (970) 476-1100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Creighton University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 W Meadow Dr
Suite 400
Vail, CO 81657-5058
Phone (970) 476-1100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42914 | CO | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steadman Clinic Professional LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Steadman Clinic Professional LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
401 Castle Creek Rd
Ste 2100
Aspen, CO 81611
Phone (970) 544-1289
200 Robinson St
Ste C300
Basalt, CO 81621
322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429
181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795
Interoperability endpoints
- thackett@tsc.emadirect.md
Organizations & group practices 2
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 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
- NPI 1093361842
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1144876251
-
dba Precourt Healing Center
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1568416568",
"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",
"address_2": "SUITE 400",
"city": "VAIL",
"state": "CO",
"postal_code": "816575242",
"telephone_number": "970-476-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "THOMAS",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "42914",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CO",
"license": "42914",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CO",
"license": "42914",
"primary": false
}
],
"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 Dec 19, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.