Active NPI
Lorin S Brandon, DPM
- Podiatrist
- Taos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 506
- Practice address
- 1213 Gusdorf Rd
Taos, NM 87571-6361 - Phone
- (970) 542-0221
- NPI assigned
- Mar 2, 2007
- Last updated
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 506 | CO | Primary |
Addresses
Primary practice location
1213 Gusdorf Rd
Taos, NM 87571-6361
Mailing address
1213 Gusdorf Rd
Taos, NM 87571-6361
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01005065 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Mills Ave
Suite 100
Las Vegas, NM 87701-4169
Phone (505) 425-3313
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.91 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 73 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 418 |
| Removal or shaving of skin growth | 165 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 506 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan K Anderson D P M P C | Podiatrist | Current | Accepting new patients |
| Stephen E Godar MD PC | Past | Accepting new patients | |
| Sharon Quach DPM PC | Past | Accepting new patients | |
| Colorado Plains Physician Practices LLC | Past | Accepting new patients | |
| Taos Health Systems, Inc., Holy Cross Hospital | Past | Accepting new patients |
Locations
1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666
8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 296-5454
511 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 225-7091
105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313
1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766
3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584
3600 Rodeo Ln
Ste A1
Santa Fe, NM 87507
Phone (505) 216-3515
1213 Gusdorf Rd
Taos, NM 87571
Phone (505) 425-3569
596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425
Interoperability endpoints
- ceq8325@yourcarecommunity.org
- footandanklespecialists.lorinbrandon@147936.advancedmd-direct.com
Organizations & group practices 6
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.
-
dba Foot & Ankle Specialists of Utah
- Foot & Ankle Surgery Podiatrist
- Bountiful, UT
- NPI 1639200215
NM
-
- Podiatric Clinic/Center
- Fort Morgan, CO
- NPI 1366650640
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
-
- Cardiovascular Disease Physician
- Fort Morgan, CO
- NPI 1821042409
-
dba Advanced Foot and Ankle Clinic
- Foot & Ankle Surgery Podiatrist
- Westminster, CO
- NPI 1558388264
-
- Internal Medicine Physician
- Fort Morgan, CO
- NPI 1043356892
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Taos, NM
- NPI 1194751958
-
- Critical Access Hospital
- Taos, NM
- NPI 1902338049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1710016241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 GUSDORF RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 GUSDORF RD",
"city": "TAOS",
"state": "NM",
"postal_code": "875716361",
"telephone_number": "970-542-0221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "LORIN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CO",
"license": "506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01005065",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.