DAVID M RATHBONE MD
NPI 1154413581
Orthopaedic Surgery in Grand Forks, ND

Active since September 30, 2006PECOS Enrolled
92.65/100
CMS Quality Rating
1000 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-6000 Get Directions Write a Review

NPPES record last updated: July 31, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David M Rathbone Md NPPES

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

DAVID M RATHBONE MD (NPI 1154413581) is an individual orthopaedic surgery provider in Grand Forks, North Dakota, licensed in North Dakota (7126) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154413581
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID M RATHBONECredential: MD
Location Address1000 S COLUMBIA RDGrand Forks, ND 58201-4032
Mailing AddressPo Box 6002Grand Forks, ND 58206-6002 · (701) 780-5000
Sole ProprietorNo
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJuly 31, 2009
NPI 1154413581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in ND · 7126
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1000 S COLUMBIA RD, Grand Forks, ND 58201

Other Identifiers 2

Medicare UPING20649ND
Medicare PIN711639ND

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 (PECOS)

David M Rathbone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

92.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.73
Promoting Interoperability98
Improvement Activities40

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.

Physical Therapist
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Dietitian, Registered
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Nurse Practitioner (Gerontology)
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Orthopaedic Surgery
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Occupational Therapist
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapy Assistant
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1000 S COLUMBIA RD
GRAND FORKS, ND 58201
Internal Medicine (Allergy & Immunology)
1000 S COLUMBIA RD
GRAND FORKS, ND 58201

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 David Rathbone's NPI number?

The NPI number for David Rathbone is 1154413581. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is David Rathbone located?

David Rathbone practices at 1000 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-6000.

What is David Rathbone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Rathbone enrolled in Medicare?

Yes. David Rathbone is registered in the Medicare PECOS enrollment system.

What insurance does David Rathbone accept?

Health plans from Medica and Sanford Health Plan list David Rathbone 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 David Rathbone was last updated on July 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.