DR. GARY GHISELLI M.D.
NPI 1124011606
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Greenwood Village, CO

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
7800 E ORCHARD RD, SUITE 100, GREENWOOD VILLAGE, CO 80111(303) 783-1300(303) 783-1200 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Ghiselli M.d. NPPES

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

DR. GARY GHISELLI M.D. (NPI 1124011606) is an individual orthopaedic surgery of the spine provider in Greenwood Village, Colorado, licensed in Colorado (DR.0042446) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Englewood, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1124011606
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. GARY GHISELLICredential: M.D.
Location Address7800 E ORCHARD RD, SUITE 100Greenwood Village, CO 80111-2583
Mailing Address7800 E Orchard Rd, Suite 100Greenwood Village, CO 80111-2583 · (303) 783-1300 · Fax (303) 783-1200
Fax(303) 783-1200
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
NPI 1124011606 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
License Licensed in CO · DR.0042446
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 ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DR.0042446 (CO)
7800 E ORCHARD RD, Greenwood Village, CO 80111

Secondary Practice Location 1

Location 1145 Inverness Dr E Ste 100Englewood, CO 80112-5172 · Phone (303) 697-7463

Other Identifiers 5

Other841519664006CO · Rmhmo
OtherGH669216CO · Bcbs
Other107033250101CO · Ihc
Other4019320001Palmetto Gba
Other84151966413CO · Pacificare

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

Dr. Gary Ghiselli M.d. 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 ID3870577364
PECOS Enrollment IDI20040614000913
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
140 services94 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
139 services79 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.
105 services80 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
60 services59 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
41 services30 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
41 services27 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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%305 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,814 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
16%82 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
6%124 patients1/55-star benchmark: 98%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
9%1,323 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%772 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
1%328 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
32%299 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
2 suppliers14 claims14 services$50.53 avg. paid by Medicare
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$20.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Surgical)
7800 E ORCHARD RD, SUITE 100
GREENWOOD VILLAGE, CO 80111
Physical Medicine & Rehabilitation (Pain Medicine)
7800 E ORCHARD RD, SUITE 100
GREENWOOD VILLAGE, CO 80111
Orthopaedic Surgery
7800 E ORCHARD RD, 350
GREENWOOD VILLAGE, CO 80111
Physician Assistant (Surgical)
7800 E ORCHARD RD, SUITE 100
GREENWOOD VILLAGE, CO 80111
Physician Assistant (Surgical)
7800 E ORCHARD RD, SUITE 100
GREENWOOD VILLAGE, CO 80111
Mechanotherapist
7800 E ORCHARD RD, 120
GREENWOOD VILLAGE, CO 80111
Family Medicine
7800 E ORCHARD RD, STE 120
GREENWOOD VILLAGE, CO 80111
Pain Medicine (Interventional Pain Medicine)
7800 E ORCHARD RD, SUITE 350
GREENWOOD VILLAGE, CO 80111

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 Gary Ghiselli's NPI number?

The NPI number for Gary Ghiselli is 1124011606. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Gary Ghiselli located?

Gary Ghiselli practices at 7800 E Orchard Rd Suite 100, Greenwood Village, CO 80111. The listed phone number is (303) 783-1300.

What is Gary Ghiselli's specialty?

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

Is Gary Ghiselli enrolled in Medicare?

Yes. Gary Ghiselli 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 Gary Ghiselli was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.