NPIMap

Individual provider Active NPI

Tomas Pevny, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Basalt, CO
National Provider Identifier
1740244342
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
34527 Issued in CO
Practice address
1450 E Valley Rd
Suite 201
Basalt, CO 81621-8304
Phone
(970) 927-8611
Fax
(970) 927-8633
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 34527 CO Primary
Orthopaedic Surgery Physician 207X00000X 34527 CO

Addresses

Primary practice location

1450 E Valley Rd
Suite 201
Basalt, CO 81621-8304

Mailing address

1450 E Valley Rd
Suite 201
Basalt, CO 81621-8304
Phone (970) 927-8611

Other identifiers 1

IdentifierTypeStateIssuer
01345271MedicaidCO

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
I20101027001051 CO Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5193714608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Baylor College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, 205 clinicians

Practice addresses (Care Compare)

1450 E Valley Rd
Unit 202
Basalt, CO 81621-8352
Phone (970) 384-7510

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7140

Hospital & facility affiliations

  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Aspen Valley Hospital District Hospital, Aspen, CO, CCN 061324
  • Grand River Hospital District Hospital, Rifle, CO, CCN 061317

Merit-based Incentive Payment System (MIPS)

Final score
83.11 of 100Reported as individual
Quality
62.63
Promoting interoperability
100
Improvement activities
40
Cost
81.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement51
Lower limb (leg) arthroscopy (minimally invasive joint repair)28
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34527COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association Orthopaedic Surgery CurrentSince Sep 1, 2020 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association Sports Medicine Current Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association CurrentSince Sep 1, 2020 Accepting new patients
Valley View Hospital Association CurrentSince May 21, 2023 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Orthopaedic Associates of Aspen and Glenwood Orthopaedic Surgery Past Accepting new patients

Locations

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1450 E Valley Rd
Unit 201
Basalt, CO 81621
Phone (970) 927-1757

1450 E Valley Rd
Unit 202
Basalt, CO 81621
Phone (970) 384-6940

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

Interoperability endpoints

  • Direct secure messaging: tomas.pevny.1@9028.direct.athenahealth.com

Organizations & group practices 10

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 7

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1740244342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-927-8611",
            "fax_number": "970-927-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E VALLEY RD",
            "address_2": "SUITE 201",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816218304",
            "telephone_number": "970-927-8611",
            "fax_number": "970-927-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEVNY",
        "first_name": "TOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "34527",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "34527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01345271",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Basalt, CO

Sources for this page

Verify at the official NPI Registry.