COLORADO SPINE INSTITUTE PROFESSIONAL LLC
NPI 1801208236
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Johnstown, CO

Active since May 20, 2014
4795 LARIMER PKWY, JOHNSTOWN, CO 80534(970) 342-2220(970) 342-2221 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Colorado Spine Institute Professional Llc NPPES

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

COLORADO SPINE INSTITUTE PROFESSIONAL LLC (NPI 1801208236) is a healthcare organization registered as an orthopaedic surgery of the spine in Johnstown, Colorado and active in the NPI registry since May 2014. The organization lists Edward Jeffrey Donner, Owner, as its authorized official.

NPPES Registry Identity

NPI1801208236
Entity TypeOrganization
Primary Taxonomy207XS0117X
Legal Business NameCOLORADO SPINE INSTITUTE PROFESSIONAL LLC
Location Address4795 LARIMER PKWYJohnstown, CO 80534-9021
Mailing Address4795 Larimer PkwyJohnstown, CO 80534-9021 · (970) 342-2220 · Fax (970) 342-2221
Fax(970) 342-2221
Organization SubpartNo
Authorized OfficialEdward Jeffrey DonnerOwner · (970) 342-2220
Enumeration DateMay 20, 2014
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1801208236 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 CO · 30264
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.
4795 LARIMER PKWY, Johnstown, CO 80534

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 MULTIPLE 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)

Colorado Spine Institute Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colorado Spine Institute Professional LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1710968185
4795 LARIMER PKWY
Johnstown, CO 80534
(970) 342-2220
✔ 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 Colorado Spine Institute Professional LLC's NPI number?

The NPI number for Colorado Spine Institute Professional LLC is 1801208236. It was assigned to this organization in the NPPES registry on May 20, 2014.

Where is Colorado Spine Institute Professional LLC located?

Colorado Spine Institute Professional LLC is located at 4795 Larimer Pkwy, Johnstown, CO 80534. The listed phone number is (970) 342-2220.

What is Colorado Spine Institute Professional LLC's specialty?

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

Is Colorado Spine Institute Professional LLC enrolled in Medicare?

Yes. Colorado Spine Institute Professional LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colorado Spine Institute Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Colorado Spine Institute Professional LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colorado Spine Institute Professional LLC was last updated on June 29, 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.