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JACOB TYLER HARTLINE
NPI 1730716275
Orthopaedic Surgery - Sports Medicine in Golden, CO

Active since March 25, 2020PECOS Enrolled
660 GOLDEN RIDGE RD STE 250, GOLDEN, CO 80401(303) 233-1223 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2026, Jun 15, 2025, Mar 25, 2020 (3 updates tracked since 2020).

About Jacob Tyler Hartline NPPES

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

JACOB TYLER HARTLINE (NPI 1730716275) is an individual sports medicine provider in Golden, Colorado, licensed in Colorado (DR.0077209) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Highlands Ranch.

NPPES Registry Identity

NPI1730716275
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJACOB TYLER HARTLINE
Location Address660 GOLDEN RIDGE RD STE 250Golden, CO 80401-9541
Mailing Address660 Golden Ridge Rd Ste 250Golden, CO 80401-9541 · (303) 233-1223
Phone(303) 233-1223
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1730716275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in CO · DR.0077209
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License DR.0077209 (CO)
660 GOLDEN RIDGE RD STE 250, Golden, CO 80401
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Secondary Practice Location 1

Location 1640 Plaza Dr Ste 300Highlands Ranch, CO 80129-2399 · Phone (303) 233-1223

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Tyler Hartline 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Hartline reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Panorama Orthopedics And Spine Center PC
Same address
Orthopaedic Surgery
660 GOLDEN RIDGE RD STE 250
Golden, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 431 clinicians in this Medicare group
NPI 1295787950 (303) 233-1223

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

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.

SADIE THOMAS PA
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
LEONARD FROEHLICH
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
MS. HANNAH SARAH STRAUSS PA-C
Physician Assistant (Surgical)
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
JAMES D THOMAS PA
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
ALEXANDRA LAUREN DE MAIO CSFA
Specialist/Technologist, Other (Surgical Assistant)
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
MRS. BRIENNE LYNN KLASK PA-C
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
JOSHUA KEITH PARKER PA-C
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223
KAITLYN HONNICK PA-C
Physician Assistant
660 GOLDEN RIDGE RD STE 250
GOLDEN, CO 80401
Jefferson County (303) 233-1223

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 Jacob Hartline's NPI number?

The NPI number for Jacob Hartline is 1730716275. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jacob Hartline located?

Jacob Hartline practices at 660 Golden Ridge Rd Ste 250, Golden, CO 80401. The listed phone number is (303) 233-1223.

What is Jacob Hartline's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jacob Hartline enrolled in Medicare?

Yes. Jacob Hartline is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacob Hartline's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Hartline reassigns Medicare benefits to Panorama Orthopedics And Spine Center PC (Golden, CO). The 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 Jacob Hartline's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Hartline was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.