Active NPI
Jeffrey R Gagliano, MD
- Orthopaedic Surgery Physician
- Boulder, CO
National Provider Identifier
1649301631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 45465
- Practice address
- 4820 Riverbend Rd Ste 200
Boulder, CO 80301-2618 - Phone
- (303) 665-0286
- Fax
- (303) 666-5112
- NPI assigned
- Mar 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A86240 | CA | |
| Orthopaedic Surgery Physician | 207X00000X | 45465 | CO | Primary |
Addresses
Primary practice location
4820 Riverbend Rd Ste 200
Boulder, CO 80301-2618
Mailing address
4820 Riverbend Rd Ste 200
Boulder, CO 80301-2618
Phone (303) 665-0286
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649301631 | Medicaid | MT | |
| 1649301631 | Medicaid | VA | |
| 800021 | Medicaid | AZ | |
| 98025350 | Medicaid | CO |
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
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4820 Riverbend Rd
Suite 200
Boulder, CO 80301-2618
Phone (303) 665-0286
Hospital & facility affiliations
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) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A86240 | CA | MD | Orthopaedic Surgery Physician |
| 45465 | CO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Professional Association P.C. | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Professional Association P.C. | Orthopaedic Surgery | Current | Accepting new patients |
Locations
4820 Riverbend Rd
Ste 200
Boulder, CO 80301
Phone (303) 665-0286
4820 Riverbend Rd
Boulder, CO 80301
Phone (303) 415-7822
1032 S 88th St
Louisville, CO 80027
Phone (303) 664-9400
Interoperability endpoints
- jeffrey.gagliano.p15@direct.ipn.nextgenshare.com
- conrad.collins.p15@direct.ipn.nextgenshare.com
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Boulder, CO
- NPI 1588849301
-
- Orthopaedic Surgery Physician
- Louisville, CO
- NPI 1922738228
Hospital & facility affiliations 43
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1649301631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 RIVERBEND RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012618",
"telephone_number": "303-665-0286",
"fax_number": "303-453-2998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 RIVERBEND RD STE 200",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012618",
"telephone_number": "303-665-0286",
"fax_number": "303-666-5112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGLIANO",
"first_name": "JEFFREY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A86240",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CO",
"license": "45465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649301631",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649301631",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "800021",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98025350",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.