Matthew P Simonich
PUEBLO BONE AND JOINT CLINIC LLC


Address: 1919w Us Hwy 50, Pueblo, CO 81008-1618
Phone: 7192537102

Matthew P Simonich (NPI# 1790755056, PAC ID# 3375445109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1790755056
PAC ID by PECOS 3375445109
Professional Enrollment ID I20050913000791
Full Name Matthew P Simonich
Organization Legal Name PUEBLO BONE AND JOINT CLINIC LLC
Address 1919w Us Hwy 50
Pueblo
CO 81008-1618
Phone Number 7192537102
Gender M
Credential MD
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1993
Primary Specialty ORTHOPEDIC SURGERY
Group Practice PAC ID 0244132066
Number of Group Practice Members 3
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
060012 ST MARY CORWIN MED CTR, CENTURA HEALTH
061344

Other Locations

Address Phone Organization
1919w Us Hwy 50, Pueblo, CO 81008-1618 7192537102 PUEBLO BONE AND JOINT CLINIC LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name PUEBLO BONE AND JOINT CLINIC LLC
Physicians 3

Physicians with the same organization

Name Specialty Organization Address
Lance Farnworth Orthopedic Surgery Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618
Damian Gradisar Nurse Practitioner Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618

Office Location

Street Address 1919W US HWY 50
City PUEBLO
State CO
Zip 81008-1618

Physicians in the same location

Name Specialty Organization Address
Lance Farnworth Orthopedic Surgery Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618
Damian Gradisar Nurse Practitioner Pueblo Bone and Joint Clinic LLC 1919w Us Hwy 50, Pueblo, CO 81008-1618

Physicians in the same zip code

Name Specialty Organization Address
Ashok Patel Allergy/immunology 3116 Elizabeth St, Suite A, Pueblo, CO 81008-1145
Gregory J Sanchez Chiropractic 3606 Morris Ave, Suite B, Pueblo, CO 81008-1369
Theodore Wilding Davis Chiropractic 2505 Kachina Dr, Pueblo, CO 81008-1573
James F Georgis Optometry 22 Club Manor Dr, Pueblo, CO 81008-1601
Victoria R Peters Optometry 1700 W Hwy 50, Pueblo, CO 81008-1614
Robyn B Silver Physical Therapy Centura Ventures LLC 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667
Stephanie Jean Zimbelman Family Medicine Catholic Health Initiatives Colorado 4112 Outlook Blvd, Suite 303, Pueblo, CO 81008-1667
Eric Nathaniel Knight Physical Therapy Centura Ventures LLC 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667
Lee M Fonseca Nurse Practitioner Catholic Health Initiatives Colorado 4112 Outlook Blvd, Pueblo, CO 81008-1667
Wendy C Jones Physical Therapy Centura Ventures LLC 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667
Find all physicians in zip 81008

Competitor

Search similar physicians

City PUEBLO
Zip Code 81008
Specialty ORTHOPEDIC SURGERY
City + Specialty PUEBLO + ORTHOPEDIC SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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