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SPINE COLORADO PC
NPI 1083665657
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Durango, CO

Active since May 16, 2006
1 MERCADO ST, STE 200, DURANGO, CO 81301(970) 382-9500(970) 375-0007 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spine Colorado Pc NPPES

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

SPINE COLORADO PC (NPI 1083665657) is a healthcare organization registered as an orthopaedic surgery of the spine in Durango, Colorado and active in the NPI registry since May 2006. The organization maintains a secondary practice location in Montrose and lists Katya Licciardi, Reimbursement Analyst, as its authorized official.

NPPES Registry Identity

NPI1083665657
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameSPINE COLORADO PC
Location Address1 MERCADO ST, STE 200Durango, CO 81301-7300
Mailing Address1 Mercado St, Ste 200Durango, CO 81301-7300 · (970) 382-9500 · Fax (970) 375-0007
Phone(970) 382-9500
Fax(970) 375-0007
Organization SubpartNo
Authorized OfficialKatya LicciardiReimbursement Analyst · (970) 375-3661
Enumeration DateMay 16, 2006
Last NPPES UpdateAugust 2, 2024
NPPES CertifiedAugust 2, 2024
✔ NPI 1083665657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
1 MERCADO ST, Durango, CO 81301
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Secondary Practice Location 1

Location 1314 S 6th StMontrose, CO 81401-5719 · Phone (970) 382-9500

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spine Colorado Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Spine Colorado PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Ryan Martyn
Orthopedic Surgery
NPI 1427444173
1 MERCADO ST STE 200
Durango, CO 81301
(970) 382-9500
✔ PECOS✔ Accepts MedicareSame address
Amber Price, M.D.
Orthopedic Surgery
NPI 1457714552
1 MERCADO ST STE 200
Durango, CO 81301
(970) 382-9500
✔ PECOS✔ Accepts MedicareSame address
James Santos, M.D.
Physical Medicine and Rehabilitation
NPI 1073591517
1 MERCADO ST STE 200
Durango, CO 81301
(970) 382-9500
✔ PECOS✔ Accepts MedicareSame address
Vanessa Capron, NP-C
Nurse Practitioner
NPI 1184445223
1 MERCADO ST STE 200
Durango, CO 81301
(970) 382-9500
✔ PECOS✔ Accepts Medicare4.6 mi
Brandon Messerli, DO
Physical Medicine and Rehabilitation
NPI 1447446778
1 MERCADO ST STE 200
Durango, CO 81301
(970) 382-9500
✔ PECOS✔ Accepts Medicare4.6 mi
Daniel Stilwell, D.P.M.
Podiatry
NPI 1316200488
1 MERCADO ST STE 202
Durango, CO 81301
(970) 764-9400
✔ PECOS✔ Accepts Medicare6.4 mi
William Faragher, M.D.
Physical Medicine and Rehabilitation
NPI 1699710087
5 HILLCREST PLAZA WAY
Montrose, CO 81401
(970) 615-7223
✔ PECOS✔ Accepts Medicare81 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spine Colorado PC's NPI number?

The NPI number for Spine Colorado PC is 1083665657. It was assigned to this organization in the NPPES registry on May 16, 2006.

Where is Spine Colorado PC located?

Spine Colorado PC is located at 1 Mercado St Ste 200, Durango, CO 81301. The listed phone number is (970) 382-9500.

What is Spine Colorado PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Spine Colorado PC enrolled in Medicare?

Yes. Spine Colorado PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spine Colorado PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Spine Colorado PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Medicine and Rehabilitation (3), Orthopedic Surgery (2) and Nurse Practitioner (1). Of these, 3 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Spine Colorado PC was last updated on August 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.