JUSTIN B LEDESMA MD
NPI 1467743682
Orthopaedic Surgery in Golden, CO

Active since April 21, 2011PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401(303) 587-3061(303) 233-8755 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2023, Jul 19, 2023, Sep 15, 2021 and 3 more (6 updates tracked since 2018).

About Justin B Ledesma Md NPPES

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

JUSTIN B LEDESMA MD (NPI 1467743682) is an individual orthopaedic surgery provider in Golden, Colorado, licensed in Colorado (CDR.0002960) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467743682
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJUSTIN B LEDESMACredential: 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
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 21, 2011
Last NPPES UpdateOctober 27, 20236 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1467743682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in CO · CDR.0002960 Licensed in WA · MD60995376 Licensed in AZ · 54240
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.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 54240 (AZ), MD60995376 (WA)
660 GOLDEN RIDGE RD STE 250, Golden, CO 80401

Other Identifiers 1

Medicaid267891AZ

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

Justin B Ledesma 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 ID6800180514
PECOS Enrollment IDI20250709000632
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 9

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 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.
68 services56 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.
60 services54 patients
X-ray of entire middle and lower spine, 4-5 views 72083
This procedure involves taking multiple images of your middle and lower spine using X-rays. These X-rays help to visualize the bones and surrounding tissues, aiding in the diagnosis of conditions such as arthritis, fractures, or disc problems. It's a quick and painless process.
45 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
22 services22 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.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80401 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.

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

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
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant (Surgical)
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Specialist/Technologist, Other (Surgical Assistant)
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Physician Assistant
660 GOLDEN RIDGE RD STE 250
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 Justin Ledesma's NPI number?

The NPI number for Justin Ledesma is 1467743682. It was assigned to this individual provider in the NPPES registry on April 21, 2011.

Where is Justin Ledesma located?

Justin Ledesma practices at 660 Golden Ridge Rd Ste 250, Golden, CO 80401. The listed phone number is (303) 587-3061.

What is Justin Ledesma's specialty?

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

Is Justin Ledesma enrolled in Medicare?

Yes. Justin Ledesma 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 Justin Ledesma accept?

Health plans from Imperial Insurance Companies, Inc. list Justin Ledesma 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 Justin Ledesma affiliated with any hospitals?

According to CMS data, Justin Ledesma is affiliated with St Francis Hospital - The Heart Center and Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Justin Ledesma was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.