Individual provider Active NPI

Peter Shorten, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Grand Junction, CO
National Provider Identifier
1902223043
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
DR.0064327 Issued in CO
Practice address
2373 G Rd Ste 100
Grand Junction, CO 81505-1003
Phone
(970) 644-4010
Fax
(970) 644-3920
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 11268151-1205 UT
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery of the Spine Physician 207XS0117X DR.0064327 CO Primary

Addresses

Primary practice location

2373 G Rd Ste 100
Grand Junction, CO 81505-1003

Mailing address

PO Box 1727
Grand JCT, CO 81502-1727
Phone (970) 644-4010

Other identifiers 1

IdentifierTypeStateIssuer
9000182226MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190723001103 UT Practitioner - Orthopedic Surgery 4789986134 Reassigns benefits to 1 organization
I20200603003214 CO Practitioner - Orthopedic Surgery 4789986134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grand Valley OrthopedicsGroup PAC ID 8820353964, 27 clinicians

Practice addresses (Care Compare)

2373 G Rd
Grand Junction, CO 81505-1003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion98
Laminectomy or laminotomy (partial removal of spine bones)68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0064327COMDOrthopaedic Surgery of the Spine Physician
11268151-1205UTMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Jun 1, 2019 Accepting new patients
Grand Valley Orthopedics CurrentSince Jul 1, 2020 Accepting new patients
University of Utah Adult Services CurrentSince Jun 1, 2019 Accepting new patients
University of Utah Adult Services Current Accepting new patients
Grand Valley Orthopedics CurrentSince Jul 1, 2020 Accepting new patients
Grand Valley Orthopedics Orthopaedic Surgery of the Spine Current Accepting new patients
Colorado West Healthcare System Past Accepting new patients

Locations

296 Stafford Ln
Delta, CO 81416
Phone (970) 874-4399

2373 G Rd
Ste 160
Grand Junction, CO 81505
Phone (970) 263-2680

2373 G Rd
Ste 100
Grand Junction, CO 81505
Phone (970) 245-0484

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005

Organizations & group practices 7

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 3

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1902223043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1727",
            "city": "GRAND JCT",
            "state": "CO",
            "postal_code": "815021727",
            "telephone_number": "970-644-4010",
            "fax_number": "970-644-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 G RD STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051003",
            "telephone_number": "970-644-4010",
            "fax_number": "970-644-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTEN",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "UT",
            "license": "11268151-1205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "DR.0064327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000182226",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.