KORNELIS POELSTRA M.D.
NPI 1467496828
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Las Vegas, NV

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
88.23/100
CMS Quality Rating
7140 SMOKE RANCH RD STE 150, LAS VEGAS, NV 89128(702) 320-8111(702) 320-8112 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2026, Mar 12, 2025, Jun 23, 2020 and 1 more (4 updates tracked since 2019).

About Kornelis Poelstra M.d. NPPES

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

KORNELIS POELSTRA M.D. (NPI 1467496828) is an individual orthopaedic surgery of the spine provider in Las Vegas, Nevada, licensed in Nevada (20020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Hills Hospital And Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467496828
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameKORNELIS POELSTRACredential: M.D.
Location Address7140 SMOKE RANCH RD STE 150Las Vegas, NV 89128-3157
Mailing Address7140 Smoke Ranch Rd Ste 150Las Vegas, NV 89128-3157 · (702) 320-8111 · Fax (702) 320-8112
Fax(702) 320-8112
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJune 16, 2006
Last NPPES UpdateMarch 9, 20264 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
NPI 1467496828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in NV · 20020
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.
7140 SMOKE RANCH RD STE 150, Las Vegas, NV 89128

Secondary Practice Locations 2

Location 13175 Saint Rose Pkwy Ste 121Henderson, NV 89052-3507 · Phone (702) 320-8111 · Fax (702) 320-8112
Location 27455 W Washington Ave Ste 480Las Vegas, NV 89128-4338 · Phone (702) 320-8111 · Fax (702) 320-8112

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

Kornelis Poelstra 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 ID6507868593
PECOS Enrollment IDI20201015003127
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 25

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 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.
140 services107 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.
122 services64 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.
117 services83 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.
97 services75 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
77 services17 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.
71 services33 patients

Hospital Affiliations CMS Care Compare

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

Southern Hills Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV
4/5 CMS rating
OwnershipProprietary
CMS Certification Number290047
Location9300 West Sunset RdLas Vegas, NV 89148 · Clark County
Emergency services

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.

88.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.57
Promoting Interoperability99
Improvement Activities40
Cost91.05

Reported Quality Measures

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.
99%559 patients4/55-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…
39%478 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
29%468 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

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 supplier11 claims11 services$725.95 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 13

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

Orthopaedic Surgery
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Physician Assistant
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Nurse Anesthetist, Certified Registered
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Orthopaedic Surgery
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Physician Assistant
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Pain Medicine (Pain Medicine)
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128
Physician Assistant
7140 SMOKE RANCH RD STE 150
LAS VEGAS, NV 89128

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 Kornelis Poelstra's NPI number?

The NPI number for Kornelis Poelstra is 1467496828. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kornelis Poelstra located?

Kornelis Poelstra practices at 7140 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128. The listed phone number is (702) 320-8111.

What is Kornelis Poelstra's specialty?

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

Is Kornelis Poelstra enrolled in Medicare?

Yes. Kornelis Poelstra 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 Kornelis Poelstra accept?

Health plans from Ambetter from Arizona Complete Health list Kornelis Poelstra 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 Kornelis Poelstra affiliated with any hospitals?

According to CMS data, Kornelis Poelstra is affiliated with Southern Hills Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Kornelis Poelstra was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.