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Individual provider Active NPI

Michael P Wertz, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Boulder, CO
National Provider Identifier
1720099187
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
30151 Issued in CO
Practice address
4820 Riverbend Rd Ste 200
Boulder, CO 80301-2618
Phone
(303) 665-0286
Fax
(303) 666-5112
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 30151 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 1

IdentifierTypeStateIssuer
01301514MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418001322 CO Practitioner - Orthopedic Surgery 3476451345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Professional Association PCGroup PAC ID 5597752071, 2 clinicians

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

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement14
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30151COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Professional Association P.C. Orthopaedic Surgery CurrentSince Sep 18, 1995 Accepting new patients
Orthopedic Professional Association P.C. Orthopaedic Surgery CurrentSince Jun 12, 2022 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

  • Direct secure messaging: michael.wertz.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.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1720099187",
    "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": "303-666-5112"
        },
        {
            "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": "WERTZ",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "30151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01301514",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.