NPIMap

Organization Active NPI

Lucky Break Orthopedics PC

Doing business as Pinnacle Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Gunnison, CO
National Provider Identifier
1942708326
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
LUCKY BREAK ORTHOPEDICS PC
Doing business as
Pinnacle Orthopedics and Sports Medicine
Practice address
103 W Tomichi Ave Ste B
Gunnison, CO 81230-2323
Phone
(970) 672-1980
Fax
(970) 817-2112
NPI assigned
Jan 31, 2018
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. David Henry Elfenbein, MDNPI 1356443774
Title
President
Phone
(970) 672-1980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 56343 CO
Orthopaedic Surgery Physician 207X00000X Primary

Addresses

Primary practice location

103 W Tomichi Ave Ste B
Gunnison, CO 81230-2323

Mailing address

PO Box 1627
Crested Butte, CO 81224-1627

Other identifiers 2

IdentifierTypeStateIssuer
7693530001OtherMEDICARE NSC
DR.0056343MedicaidCO

Other names 1

  • Pinnacle Orthopedics and Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180223000231 CO Part B Supplier - Clinic/Group Practice 1052672607 Receives reassigned benefits from 1 practitioner
Practice locations: Gunnison, CO
O20180912002541 CO DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1052672607 1 other NPI on this enrollment
Practice locations: Gunnison, CO

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lucky Break Orthopedics PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942708326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1627",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812241627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W TOMICHI AVE STE B",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302323",
            "telephone_number": "970-672-1980",
            "fax_number": "970-817-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY BREAK ORTHOPEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ELFENBEIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-672-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "56343",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7693530001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DR.0056343",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Orthopedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gunnison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.