Active NPI
Thomas R. Knutson, M.D.
- Orthopaedic Surgery Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G50268
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G50268 | Other | CA | MEDICAL LICENSE |
| 1962409938 | Other | CA | NPI NUMBER |
| 1962409938 | Medicaid | CA |
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
Enrollment records 1
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
- Palomar Health Downtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 26.9 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 89.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 37 |
| Knee replacement | 57 |
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Thomas Knutson MD Inc | Orthopaedic Surgery | Past | 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
- thomas.knutson.p1@direct.arch.nextgenshare.com
- 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.
-
- Orthopaedic Surgery Physician
- Escondido, CA
- NPI 1023193216
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- San Diego, CA
- NPI 1588261788
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.