SHANE ROTHERMEL MD
NPI 1083000541
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Pueblo, CO

Active since April 11, 2015PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
3676 PARKER BLVD STE 390, PUEBLO, CO 81008(719) 595-7780(719) 595-7789 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Rothermel Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE ROTHERMEL MD (NPI 1083000541) is an individual adult reconstructive orthopaedic surgery provider in Pueblo, Colorado, licensed in Colorado (DR0065962) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2015).

NPPES Registry Identity

NPI1083000541
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameSHANE ROTHERMELCredential: MD
Location Address3676 PARKER BLVD STE 390Pueblo, CO 81008-2215
Mailing Address2500 English Creek Ave Ste 1300Egg Harbor Township, NJ 08234-5598 · (609) 677-7013 · Fax (609) 677-7000
Fax(719) 595-7789
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2015
Enumeration DateApril 11, 2015
Last NPPES UpdateOctober 30, 2021
NPPES CertifiedOctober 30, 2021
NPI 1083000541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses Licensed in CO · DR0065962 Licensed in NJ · 25MA10759000 Licensed in PA · MD462106
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
3676 PARKER BLVD STE 390, Pueblo, CO 81008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Rothermel Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648550285
PECOS Enrollment IDI20210824002774
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
296 services37 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
257 services158 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
183 services119 patients
X-ray for bone length assessment 77073
An X-ray for bone length assessment is a simple, non-invasive imaging test. It helps to evaluate the length of your bones and identify any discrepancies or abnormalities. This procedure is quick, painless, and provides valuable information for your healthcare provider.
95 services95 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
89 services77 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3676 PARKER BLVD STE 390
PUEBLO, CO 81008
Orthopaedic Surgery (Sports Medicine)
3676 PARKER BLVD STE 390
PUEBLO, CO 81008
Nurse Practitioner (Family)
3676 PARKER BLVD STE 390
PUEBLO, CO 81008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Rothermel's NPI number?

The NPI number for Shane Rothermel is 1083000541. It was assigned to this individual provider in the NPPES registry on April 11, 2015.

Where is Shane Rothermel located?

Shane Rothermel practices at 3676 Parker Blvd Ste 390, Pueblo, CO 81008. The listed phone number is (719) 595-7780.

What is Shane Rothermel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Shane Rothermel enrolled in Medicare?

Yes. Shane Rothermel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shane Rothermel was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.