Individual provider Active NPI

Thomas R. Knutson, M.D.

  • Orthopaedic Surgery Physician
  • Escondido, CA
National Provider Identifier
1962409938
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G50268 Issued in CA
Practice address
1955 Citracado Pkwy
Suite 200
Escondido, CA 92029-4110
Phone
(760) 743-4789
Fax
(760) 743-4779
NPI assigned
Jul 5, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G50268 CA Primary

Addresses

Primary practice location

1955 Citracado Pkwy
Suite 200
Escondido, CA 92029-4110

Mailing address

15611 Pomerado Rd
Fifth Floor
Poway, CA 92064-2437
Phone (858) 673-2574

Other identifiers 3

IdentifierTypeStateIssuer
G50268OtherCAMEDICAL LICENSE
1962409938OtherCANPI NUMBER
1962409938MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310001386 CA Practitioner - Orthopedic Surgery 4587553490 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15611 Pomerado Rd
Poway, CA 92064-2437

Hospital & facility affiliations

  • Pacific Point HCS Inc Home health agency, San Diego, CA, CCN 059260
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Merit-based Incentive Payment System (MIPS)

Final score
26.9 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
89.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement37
Knee replacement57
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arch Health Partners, Inc Orthopaedic Surgery CurrentSince Nov 26, 2011 Accepting new patients
Thomas Knutson MD Inc Orthopaedic Surgery PastSince Jan 30, 2003 Accepting new patients

Locations

161 N Date St
Escondido, CA 92025
Phone (760) 743-4789

2130 Citracado Pkwy
Ste 200
Escondido, CA 92029
Phone (760) 743-4789

1955 Citracado Pkwy
Ste 200
Escondido, CA 92029
Phone (760) 489-1355

15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900

15611 Pomerado Rd
Fl Fifth
Poway, CA 92064

Interoperability endpoints

  • Direct secure messaging: thomas.knutson.p1@direct.arch.nextgenshare.com
  • Direct secure messaging: tknutson498603@direct.jcl.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 2

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": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1962409938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD",
            "address_2": "FIFTH FLOOR",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-673-2574",
            "fax_number": "858-618-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 CITRACADO PKWY",
            "address_2": "SUITE 200",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920294110",
            "telephone_number": "760-743-4789",
            "fax_number": "760-743-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTSON",
        "first_name": "THOMAS",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2016-03-24",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G50268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G50268",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1962409938",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962409938",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.