Jeffrey Gerard Belisle, MD, MBA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

DR.0066063 Issued in CO

Practice address

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Phone

(719) 333-5962

NPI assigned

Mar 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Enrolled in UT, CO, SD, OK4 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 4

Specialty

Orthopedic Surgery

Education

University of Oklahoma College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McBride Clinic Orthopedic Hospital, LLCGroup PAC ID 3678514809, 100 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McBride Orthopedic Hospital Hospital, Oklahoma City, OK, CCN 370222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.belisle@moh.eclinicaldirectplus.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• BKD HCR Master Lease 3 Tenant LLC

  • Skilled Nursing Facility
  • Overland Park, KS
  • NPI 1679728919

  Adp of the SNF

  CMS ownership

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.

• McBride Clinic Orthopedic Hospital, LLC

  • Orthopaedic Surgery Physician
  • Oklahoma City, OK
  • NPI 1659413649
  Medicare reassignment Care Compare group NPD
• The Memorial Hospital

  • Critical Access Hospital
  • Craig, CO
  • NPI 1063418424
  Medicare reassignment NPD
• Acute Care Surgery of South Dakota PC

  • Orthopaedic Surgery Physician
  • Rapid City, SD
  • NPI 1730797184
  Medicare reassignment NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• Orthopaedics of Steamboat Springs PC

  • Orthopaedic Surgery Physician
  • Steamboat Springs, CO
  • NPI 1073538401
  NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868

  Orthopaedic Surgery

  NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• The Memorial Hospital

  • Land Ambulance
  • Craig, CO
  • NPI 1669288809
  NPD
• The Memorial Hospital

  • Multi-Specialty Clinic/Center
  • Steamboat Springs, CO
  • NPI 1750958229
  NPD
• University of Utah Adult Services

  • Endocrinology, Diabetes & Metabolism Physician
  • Salt Lake City, UT
  • NPI 1588068381
  NPD
• University of Utah Adult Services

  • Diagnostic Radiology Physician
  • Salt Lake City, UT
  • NPI 1598169419
  NPD
• Acute Care Surgical Affiliates of Texas PA

  • Surgery Physician
  • Corpus Christi, TX
  • NPI 1407322415

  Orthopaedic Surgery

  NPD (past)

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

• McBride Clinic Orthopedic Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1932145505
  Care Compare affiliation

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1952625840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4102 PINION DR",
            "city": "USAF ACADEMY",
            "state": "CO",
            "postal_code": "808402502",
            "telephone_number": "719-333-5962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Marketplace Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804871841",
            "country_code": "US",
            "telephone_number": "970-879-6663 x180",
            "fax_number": "970-871-1234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Marketplace Plz Ste 200",
            "address_purpose": "LOCATION",
            "city": "Steamboat Springs",
            "state": "CO",
            "postal_code": "804871841",
            "country_code": "US",
            "telephone_number": "970-879-6663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELISLE",
        "first_name": "JEFFREY",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "MD,  MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME127248",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "9338988-1205",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "VA",
            "license": "0101269306",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "UT",
            "license": "9338988-1205",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "26348",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0066063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Wayne Bates, MD
• Kelley Marie Beakley, PHARM.D.
• Jeffrey Beaston, EMT
• Alexander Beckstead, MD
• Jennifer Behymer, RD
• Elizabeth Belleau, PHD
• Andrew Phillip Benfield, DMD, MS
• Steven Michael Bennett Jr., D.M.D.
• Douglas John Bird, PA
• Andrea Blake, DO

• Orthopaedic Surgery Physician in Usaf Academy, CO
• Providers in Usaf Academy, CO by specialty
• Orthopaedic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.