DR. MITCHELL THEODORE COPELAND DO
NPI 1427097005
Orthopaedic Surgery in Grand Junction, CO
NPI Status: Active since June 06, 2006
Contact Information
2373 G RD
SUITE 100
GRAND JUNCTION, CO
ZIP 81505
Phone: (970) 245-0484
Fax: (970) 241-2803
- Individual
- Male
- Orthopaedic Surgery
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About MITCHELL COPELAND
This page provides the complete NPI Profile along with additional information for Mitchell Copeland, a provider established in Grand Junction, Colorado with a medical specialization in Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1427097005 assigned on June 2006. The practitioner's primary taxonomy code is 207X00000X with license number 36754 (CO). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1427097005
- Provider Name
- DR. MITCHELL THEODORE COPELAND DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505
- Location Phone
- (970) 245-0484
- Location Fax
- (970) 241-2803
- Mailing Address
- 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505
- Mailing Phone
- (970) 245-0484
- Mailing Fax
- (970) 241-2803
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 09-23-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 36754
- License State
- CO
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Healthy Premier Bronze HSA - EPO
- Healthy Premier Expanded Bronze Standard - EPO
- Healthy Premier Gold Copay - EPO
- Healthy Premier Gold Standard - EPO
- Healthy Premier Silver Copay - EPO
- Healthy Premier Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
24837326 | MEDICAID (05) | CO | |
93144 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
H03104 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Mitchell Copeland is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 81505 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Care coordination agreements that promote improvements in patient tracking across settings | Yes | N/A |
Establish effective care coordination and active referral management that could include one or more of the following: Establish care coordination agreements with frequently used consultants that set expectations for documented flow of information and MIPS eligible clinician or MIPS eligible clinician group expectations between settings. Provide patients with information that sets their expectations consistently with the care coordination agreements; Track patients referred to specialist through the entire process; and/or Systematically integrate information from referrals into the plan of care. | ||
Closing the Referral Loop: Receipt of Specialist Report | 64% | 22 |
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
Colorectal Cancer Screening | 81% | 310 |
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer | ||
Documentation of Current Medications in the Medical Record | 99% | 986 |
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
e-Prescribing | 100% | 21 |
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
Implementation of improvements that contribute to more timely communication of test results | Yes | N/A |
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up. | ||
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral Loop | Yes | N/A |
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology. | ||
Medication Reconciliation | 96% | 589 |
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
Patient-Specific Education | 100% | 440 |
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
Pneumococcal Vaccination Status for Older Adults | 98% | 195 |
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 69% | 500 |
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
Preventive Care and Screening: Influenza Immunization | 84% | 387 |
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
Provide Patient Access | 88% | 440 |
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
Secure Messaging | 14% | 440 |
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
Security Risk Analysis | Yes | N/A |
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
TCPI Participation | Yes | N/A |
Participation in the CMS Transforming Clinical Practice Initiative | ||
Use of High-Risk Medications in the Elderly | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 195 |
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 2 | 7 | 0 | 9 | 7 | 0 | 0 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 4 | 7 | 0 | 9 | 14 | 0 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 4 + 7 + 0 + 9 + 1 + 4 + 0 + 0 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1427097005 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1730437617 | JASON B BELL PA Individual | Physician Assistant (Surgical) | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 248-0484 |
1760491922 | KEVIN K HOWELL D.O. Individual | Obstetrics & Gynecology | 2373 G RD GRAND JUNCTION, CO 81505 (970) 242-2429 |
1326465931 | COLORADO WEST HEALTHCARE SYSTEM Organization | Pharmacy (Community/Retail Pharmacy) | 2373 G RD SUITE 120 GRAND JUNCTION, CO 81505 (970) 644-4380 |
1689094807 | MR. AARON FRAME ATC Individual | Specialist/Technologist (Athletic Trainer) | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1326077439 | GREGORY JOSEPH TARMAN MD Individual | Specialist | 2373 G RD SUITE 200 GRAND JUNCTION, CO 81505 (970) 243-3061 |
1891886503 | MR. GARY LEE BLUNK PA-C Individual | Physician Assistant (Surgical) | 2373 G RD SUITE 200 GRAND JUNCTION, CO 81505 (970) 243-3061 |
1609823202 | RICHARD ALAN KNACKENDOFFEL DO Individual | Orthopaedic Surgery | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1912944281 | MATTHEW ROSS MACASKILL PT Individual | Physical Therapist | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1427090349 | ROBERT SEAN RICHARDSON PT Individual | Physical Therapist | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1780629436 | WESTERN ORTHOPEDICS & SPORTS Organization | Orthopaedic Surgery | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1982744579 | DR. KENNAN JOHN VANCE D.O. Individual | Orthopaedic Surgery | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1588799985 | MRS. JULIA J BRICKNELL OTR-L, CHT Individual | Occupational Therapist (Hand) | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1356689467 | MS. AMANDA WELCER PA-C Individual | Physician Assistant (Surgical) | 2373 G RD SUITE 100 GRAND JUNCTION, CO 81505 (970) 245-0484 |
1396819553 | MR. RONALD M STEWART MD Individual | Obstetrics & Gynecology | 2373 G RD SUITE 240 GRAND JUNCTION, CO 81505 (970) 243-7908 |
1962436386 | DR. REBECCA A GLASSER MD Individual | Surgery (Plastic and Reconstructive Surgery) | 2373 G RD GRAND JUNCTION, CO 81505 (970) 644-4425 |
1457663189 | ELIZABETH ANN MCCARREL Individual | Obstetrics & Gynecology | 2373 G RD SUITE 240 GRAND JUNCTION, CO 81505 (970) 644-4400 |
1639446339 | TIFFINI DAWN YOUNG CNM Individual | Midwife | 2373 G RD SUITE 240 GRAND JUNCTION, CO 81505 (970) 263-7908 |
1396718557 | LAUREL A BARTHOLOMAY M.D. Individual | Obstetrics & Gynecology | 2373 G RD SUITE 200 GRAND JUNCTION, CO 81505 (970) 243-3061 |
1720051691 | RUTH ANN PRICE CNM Individual | Advanced Practice Midwife | 2373 G RD SUITE 240 GRAND JUNCTION, CO 81505 (970) 243-7908 |
1760411995 | MARK NISHIYA MD Individual | Specialist | 2373 G RD SUITE 200 GRAND JUNCTION, CO 81505 (970) 243-3061 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427097005, enumerated in the NPI registry as an "individual" on June 06, 2006
The provider is located at 2373 G Rd Suite 100 Grand Junction, Co 81505 and the phone number is (970) 245-0484
The provider's speciality is Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: University of Utah Health Plans, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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