AMIT O AGARWALA MD
NPI 1154383131
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Golden, CO

Active since April 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
660 GOLDEN RIDGE RD, STE 250, GOLDEN, CO 80401(303) 233-1223(303) 233-8755 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amit O Agarwala Md NPPES

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

AMIT O AGARWALA MD (NPI 1154383131) is an individual orthopaedic surgery of the spine provider in Golden, Colorado, licensed in Colorado (40166) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1154383131
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameAMIT O AGARWALACredential: MD
Location Address660 GOLDEN RIDGE RD, STE 250Golden, CO 80401-9541
Mailing Address660 Golden Ridge Rd, Ste 250Golden, CO 80401-9541 · (303) 233-1223 · Fax (303) 233-8755
Fax(303) 233-8755
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1997
Enumeration DateApril 5, 2006
Last NPPES UpdateFebruary 2, 2017
NPI 1154383131 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 · 40166
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 40166 (CO)
660 GOLDEN RIDGE RD, Golden, CO 80401

Other Identifiers 3

Medicare UPINH57527
Medicare PIN460648CO
Medicaid87629852CO

Accepted Insurance

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

Amit O Agarwala 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 ID4183712748
PECOS Enrollment IDI20120404000791
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 23

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.

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.
136 services85 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.
113 services95 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
108 services32 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 services88 patients
X-ray of entire middle and lower spine, 2-3 views 72082
An X-ray of your middle and lower spine involves capturing images of these areas to identify any abnormalities. The procedure involves taking 2-3 different views for a comprehensive understanding. It's non-invasive and usually painless, helping doctors diagnose conditions like fractures or infections.
69 services40 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.
54 services31 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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability90
Improvement Activities40
Cost66.41

Referred Medical Equipment & Supplies CMS DME claims

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

Lumbar-sacral orthosis, sagittal-coronal control, with rigid anterior and posterior frame/panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, lateral strength provided by rigid lateral frame/panel(s), produces intracavitary pressure to reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0650
DME-Orthotic Devices · category DF007N
1 supplier18 claims18 services$560.88 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.

Specialist/Technologist (Athletic Trainer)
660 GOLDEN RIDGE RD, STE 130
GOLDEN, CO 80401
Orthopaedic Surgery (Sports Medicine)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physician Assistant (Surgical)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Occupational Therapist
660 GOLDEN RIDGE RD, STE. 250
GOLDEN, CO 80401
Orthopaedic Surgery
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
660 GOLDEN RIDGE RD, SUITE 250
GOLDEN, CO 80401
Physical Therapist
660 GOLDEN RIDGE RD, STE 130
GOLDEN, CO 80401

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 Amit Agarwala's NPI number?

The NPI number for Amit Agarwala is 1154383131. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Amit Agarwala located?

Amit Agarwala practices at 660 Golden Ridge Rd Ste 250, Golden, CO 80401. The listed phone number is (303) 233-1223.

What is Amit Agarwala's specialty?

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

Is Amit Agarwala enrolled in Medicare?

Yes. Amit Agarwala 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.

What insurance does Amit Agarwala accept?

Health plans from UnitedHealthcare list Amit Agarwala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amit Agarwala was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.