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MICHAEL CAIN M.D.
NPI 1366706129
Orthopaedic Surgery in Thornton, CO

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
34.33/100
CMS Quality Rating
9005 GRANT ST STE 200, THORNTON, CO 80229(303) 287-2800(303) 287-7357 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2018, Aug 7, 2018, May 8, 2018 (3 updates tracked since 2018).

About Michael Cain M.d. NPPES

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

MICHAEL CAIN M.D. (NPI 1366706129) is an individual orthopaedic surgery provider in Thornton, Colorado, licensed in Colorado (DR.0068521) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366706129
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL CAINCredential: M.D.
Location Address9005 GRANT ST STE 200Thornton, CO 80229-4384
Mailing Address9005 Grant St Ste 200Thornton, CO 80229-4384 · (303) 287-2800 · Fax (303) 287-7357
Phone(303) 287-2800
Fax(303) 287-7357
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateSeptember 25, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2023
✔ NPI 1366706129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in CO · DR.0068521✔ Licensed in GA · 5483✔ Licensed in TN · 57315
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.
9005 GRANT ST STE 200, Thornton, CO 80229
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1141 Hillcrest DrClarksville, TN 37043 · Phone (931) 552-4340 · Fax (931) 552-0999
Location 26445 Main StHouston, TX 77030-1502 · Phone (713) 441-3892
Location 31120 15th StAugusta, GA 30912-0004 · Phone (706) 721-1633 · Fax (706) 721-6001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Cigna Healthcare, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Cain 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 ID9537308895
PECOS Enrollment IDI20251107003917
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Cain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Spine And Orthopedics Inc
Same address
Orthopaedic Surgery
9005 GRANT ST, #200
Thornton, CO 80229
  • Reassigned Medicare billing, Colorado enrollment
  • 31 clinicians in this Medicare group
NPI 1245215862 (303) 287-2800
Tennessee Orthopaedic Alliance PA
973 mi
Orthopaedic Surgery
451 HIGHWAY 13 S
Waverly, TN 37185
  • Reassigned Medicare billing, Tennessee enrollment
  • 365 clinicians in this Medicare group
NPI 1023140126 (615) 383-2693
South Carolina Sports Medicine & Orthopaedic Center
1,462 mi
Sports Medicine
9100 MEDCOM ST
N Charleston, SC 29406
  • Reassigned Medicare billing, South Carolina enrollment
  • 53 clinicians in this Medicare group
NPI 1922111715 (843) 572-2663

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

Areas of Expertise CMS Part B claims 8

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.
426 services65 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.
150 services82 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
89 services59 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
66 services66 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
44 services28 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
37 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80229 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

34.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality34.2
Promoting Interoperability0
Improvement Activities20
Cost47.11

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.

ALEXIS HEARTSFIELD PA-C
Physician Assistant
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
CHRISTINA OTTOMEYER DO
Orthopaedic Surgery
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
MARK ZACCONE
Specialist/Technologist, Other (Surgical Assistant)
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
DR. JENNIFER J BECK MD
Orthopaedic Surgery (Sports Medicine)
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
MS. FARRAH LYNN SOLL PA-C
Physician Assistant
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
GRIFFIN MICHAEL ELLIS DO
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
ALEXANDER PATRICK COTTER MD
Physical Medicine & Rehabilitation (Pain Medicine)
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (303) 287-2800
DAVID ZURITA DO
Orthopaedic Surgery
9005 GRANT ST STE 200
THORNTON, CO 80229
Adams County (032) 872-8003

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 Michael Cain's NPI number?

The NPI number for Michael Cain is 1366706129. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Michael Cain located?

Michael Cain practices at 9005 Grant St Ste 200, Thornton, CO 80229. The listed phone number is (303) 287-2800.

What is Michael Cain's specialty?

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

Is Michael Cain enrolled in Medicare?

Yes. Michael Cain 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.

Which organizations bill Medicare for Michael Cain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cain reassigns Medicare benefits to 3 organizations: Center For Spine And Orthopedics Inc (Thornton, CO), Tennessee Orthopaedic Alliance PA (Waverly, TN) and South Carolina Sports Medicine & Orthopaedic Center (N Charleston, SC). Each 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 Michael Cain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cain accept?

Health plans from BlueCross BlueShield of South Carolina, Cigna Healthcare, Select Health and UnitedHealthcare list Michael Cain 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.

Is Michael Cain affiliated with any hospitals?

According to CMS data, Michael Cain is affiliated with Musc Medical Center and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Cain was last updated on September 25, 2023. 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.