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PUEBLO BONE AND JOINT CLINIC LLC
NPI 1568534642
Orthopaedic Surgery in Pueblo, CO

Active since November 14, 2006
1919 W US HIGHWAY 50, PUEBLO, CO 81008(719) 253-7102(719) 253-7114 Get Directions Write a Review

NPPES record last updated: April 18, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pueblo Bone And Joint Clinic Llc NPPES

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

PUEBLO BONE AND JOINT CLINIC LLC (NPI 1568534642) is a healthcare organization registered as an orthopaedic surgery in Pueblo, Colorado and active in the NPI registry since November 2006. The organization lists Annette Garcia, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1568534642
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NamePUEBLO BONE AND JOINT CLINIC LLC
Location Address1919 W US HIGHWAY 50Pueblo, CO 81008-1618
Mailing Address1919 W Us Highway 50Pueblo, CO 81008-1618 · (719) 253-7102 · Fax (719) 253-7114
Phone(719) 253-7102
Fax(719) 253-7114
Organization SubpartNo
Authorized OfficialAnnette GarciaBusiness Office Manager · (719) 253-7102
Enumeration DateNovember 14, 2006
Last NPPES UpdateApril 18, 2017
✔ NPI 1568534642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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.
1919 W US HIGHWAY 50, Pueblo, CO 81008
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Other Identifiers 3

Medicare NSC5410910001CO
Medicare PINC446648CO
Medicaid50330349CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pueblo Bone And Joint Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pueblo Bone And Joint Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Lance Farnworth, MD
Orthopedic Surgery
NPI 1174593081
1919 W US HIGHWAY 50
Pueblo, CO 81008
(719) 253-7102
✔ PECOS✔ Accepts MedicareSame address
Damian Gradisar, ACNP
Nurse Practitioner
NPI 1588107098
1919 W US HIGHWAY 50
Pueblo, CO 81008
(719) 253-7102
✔ PECOS✔ Accepts MedicareSame address
Matthew Simonich, MD
Orthopedic Surgery
NPI 1790755056
1919 W US HIGHWAY 50
Pueblo, CO 81008
(719) 253-7102
✔ PECOS✔ Accepts MedicareSame address

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

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 Pueblo Bone And Joint Clinic LLC's NPI number?

The NPI number for Pueblo Bone And Joint Clinic LLC is 1568534642. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Pueblo Bone And Joint Clinic LLC located?

Pueblo Bone And Joint Clinic LLC is located at 1919 W Us Highway 50, Pueblo, CO 81008. The listed phone number is (719) 253-7102.

What is Pueblo Bone And Joint Clinic LLC's specialty?

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

Is Pueblo Bone And Joint Clinic LLC enrolled in Medicare?

Yes. Pueblo Bone And Joint Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pueblo Bone And Joint Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pueblo Bone And Joint Clinic LLC, in Nurse Practitioner and Orthopedic Surgery. A 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 the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pueblo Bone And Joint Clinic LLC was last updated on April 18, 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.