DR. MICHAEL E JANSSEN DO
NPI 1922083310
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Thornton, CO
Quality Rating: 60.3 out of 100 score
NPI Status: Active since December 08, 2005
Contact Information
9005 GRANT ST
# 200
THORNTON, CO
ZIP 80229
Phone: (303) 287-2800
Fax: (303) 287-7357
- Individual
- Male
- Years of Experience 40
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL JANSSEN
This page provides the complete NPI Profile along with additional information for Michael Janssen, a provider established in Thornton, Colorado with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine and more than 40 years of experience. The healthcare provider is registered in the NPI registry with number 1922083310 assigned on December 2005. The practitioner's primary taxonomy code is 207XS0117X with license number 30753 (CO). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1922083310
- Provider Name
- DR. MICHAEL E JANSSEN DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9005 GRANT ST # 200 THORNTON, CO 80229
- Location Phone
- (303) 287-2800
- Location Fax
- (303) 287-7357
- Mailing Address
- 9005 GRANT ST # 200 THORNTON, CO 80229
- Mailing Phone
- (303) 287-2800
- Mailing Fax
- (303) 287-7357
- Medical School Name
- OTHER
- Graduation Year
- 1986
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-08-2005
- Last Update Date
- 08-15-2019
- 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 Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 30753
- License State
- CO
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
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 |
|---|---|---|---|
| 01307537 | MEDICAID (05) | CO |
Medicare Participation & PECOS Enrollment Status
Michael Janssen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Janssen 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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
PECOS PAC ID: 6103723861
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20120322000088, I20220209001141
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
Harvest of bone for spine surgery graft
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 45-59 minutes
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment
Placement of stabilizing device to back, 3-6 spine bone segments
Spinal fusion
X-ray of lower and sacral spine, minimum of 4 views
X-ray of upper spine, 4-5 views
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 41 times for 38 patientsHarvest of bone for spine surgery graft involves taking a small piece of bone from one area of your body, often the hip, to use in your spine surgery. This bone graft helps promote healing and stability in the spine by providing a framework for new, natural bone to grow on.
This service was performed 23 times for 21 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 23 times for 15 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 52 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 34 times for 34 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 26 times for 26 patientsThis procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
This service was performed 50 times for 28 patientsThis procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.
This service was performed 12 times for 12 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 41 patientsAn X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
This service was performed 35 times for 34 patientsAn X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
This service was performed 18 times for 17 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 60.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 60.3 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 60.99
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 39.19
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 39.19
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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 |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 31% | 222 |
| 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 | 28% | 426 |
| 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. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 22% | 376 |
| 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 | ||
| Provide Patient Access | 72% | 426 |
| 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 | 13% | 426 |
| 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. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
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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 | 9 | 2 | 2 | 0 | 8 | 3 | 3 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 0 | 8 | 6 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 0 + 8 + 6 + 3 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1922083310 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1316921158 | DR. MONROE I LEVINE MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 9005 GRANT ST #200 THORNTON, CO 80229 (303) 287-2800 |
| 1750471033 | DR. MORGAN M. HOWLAND M.D. Individual | Anesthesiology | 9005 GRANT ST THORNTON, CO 80229 (303) 288-4694 |
| 1740359439 | ALICIA MICHELLE MCCOWN PA-C Individual | Physician Assistant (Surgical) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1861797243 | SPINE SURGERY ASSISTANTS PC Organization | Nurse Practitioner | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1235113085 | MRS. RUTH H BECKHAM RN NP Individual | Nurse Practitioner | 9005 GRANT ST #200 THORNTON, CO 80229 (303) 287-2800 |
| 1558371716 | CHRISTOPHER L ISAACS DO Individual | Orthopaedic Surgery | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1659509875 | DR. JOSEPH MICHAEL MORREALE M.D. Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1245504067 | DEVIN MICHAEL JACOBS PA-C Individual | Physician Assistant (Surgical) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1295031714 | MS. KATHERINE M. WEISENBORN P.A.-C. Individual | Physician Assistant | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1326315961 | MS. LINDSAY WELLS SHILLINGLAW PA-C Individual | Physician Assistant | 9005 GRANT ST STE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1003170333 | DR. ERIC C KUHLMAN DPM Individual | Podiatrist (Foot & Ankle Surgery) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (540) 434-4366 |
| 1396141958 | NATHAN ADAMS PA-C Individual | Physician Assistant (Surgical) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1245215862 | CENTER FOR SPINE AND ORTHOPEDICS PC Organization | Orthopaedic Surgery | 9005 GRANT ST #200 THORNTON, CO 80229 (303) 287-2800 |
| 1184021057 | VERA SEKULA Individual | Nurse Practitioner (Adult Health) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
| 1245239268 | MUSCULOSKELETAL SURGERY CENTER OF COLORADO Organization | Clinic/Center (Ambulatory Surgical) | 9005 GRANT ST SUITE #300 THORNTON, CO 80229 (303) 288-4694 |
| 1447461801 | CENTER FOR SPINE ARTHROPLASTY Organization | Specialist | 9005 GRANT ST STE 200 THORNTON, CO 80229 (303) 302-6000 |
| 1891745956 | NORTH SUBURBAN SPINE CENTER LP Organization | Clinic/Center (Ambulatory Surgical) | 9005 GRANT ST #300 THORNTON, CO 80229 (303) 288-4694 |
| 1609274851 | CHER, LLC Organization | Radiology (Diagnostic Radiology) | 9005 GRANT ST SUITE 400 THORNTON, CO 80229 (719) 955-4332 |
| 1588980130 | DR. JACOB CARL LEWIS RUMLEY D.O. Individual | Orthopaedic Surgery | 9005 GRANT ST THORNTON, CO 80229 (303) 287-2800 |
| 1558747246 | CHARLES CALEB JENNINGS PA-C Individual | Physician Assistant (Surgical) | 9005 GRANT ST SUITE 200 THORNTON, CO 80229 (303) 287-2800 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922083310, enumerated in the NPI registry as an "individual" on December 08, 2005
The provider is located at 9005 Grant St # 200 Thornton, Co 80229 and the phone number is (303) 287-2800
The provider's speciality is Orthopaedic Surgery with taxonomy code 207XS0117X with a focus in Orthopaedic Surgery of the Spine
The provider has more than 40 years of experience.
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming, 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 30-39 minutes, Harvest of bone for spine surgery graft, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 45-59 minutes, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment, Placement of stabilizing device to back, 3-6 spine bone segments, Spinal fusion, X-ray of lower and sacral spine, minimum of 4 views and X-ray of upper spine, 4-5 views.
This NPI record was last updated on December 08, 2005. 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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