2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1396740411 MD
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GREGG KOLDENHOVEN, MD

Adult Reconstructive Orthopaedic Surgery Physician in LONGMONT, Colorado. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
274
Medicare Part D claims · 162 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.5826/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$420.72
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GREGG KOLDENHOVEN, MD reported a CMS MIPS final score of 88.5826/100 — above the 83.1 national average — and filed 274 Medicare Part D claims in 2023.

88.5826/100
MIPS score · +5 vs avg
274
Part D claims, 2023
96%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

GREGG KOLDENHOVEN, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

GREGG KOLDENHOVEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about GREGG KOLDENHOVEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2005

NPI 1396740411

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

274 44% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

88.5826/100 5.482600000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Colorado providers

Colorado providers

Adult Reconstructive Orthopaedic Surgery Physician share within Colorado

1. Adult Reconstructive Orthopaedic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Reconstructive Orthopaedic Surgery Physician share within Colorado

Medicare quality performance — MIPS

GREGG KOLDENHOVEN, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
88.5826/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 88.5826/100 vs national avg 83.1

0%100%National avg83%88.6%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) — 88.5826/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GREGG KOLDENHOVEN, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 1610 DRY CREEK DR, LONGMONT, CO, 80503, with a listed phone of (303) 772-1600. NPI 1396740411 was issued on 06/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KOLDENHOVEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 274 prescription claims written by this provider, covering 162 Medicare beneficiaries and totaling roughly $9K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 36.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.5826/100 for the 2023 performance year (Quality 79.2412), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1610 DRY CREEK DR
LONGMONT, CO 80503

Provider Details

NPI 1396740411
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/15/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.5826
Final Score
Avg: 83.1
79.2412
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where GREGG KOLDENHOVEN, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ORTHOPAEDIC AND SPINE CENTER OF THE ROCKIES PC
LONGMONT, CO
SELECT PHYSICAL THERAPY HOLDINGS INC
LOVELAND, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GREGG KOLDENHOVEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$421

Largest payer

Paragon 28, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

GREGG KOLDENHOVEN, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 274 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

274
Total Claims
$9K
Total Drug Cost
162
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
280
Total Day Supply
4,319
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$7K
Generic Drug Cost
$2K
Opioid Claims
99 (36.1% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.04
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What GREGG KOLDENHOVEN, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Meloxicam
72
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
40
Prednisone
23
Tramadol Hcl
22
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
12
Cyclobenzaprine Hcl
11
Eliquis
Apixaban
11
Methylprednisolone
11
Oxycodone Hcl
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Adult Reconstructive Orthopaedic Surgery Physician Overview

How GREGG KOLDENHOVEN, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

GREGG KOLDENHOVEN, MD's 274 claims are below the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Colorado

Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as KOLDENHOVEN.

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GREGG KOLDENHOVEN, MD's specialty?
GREGG KOLDENHOVEN, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in LONGMONT, Colorado. Credentials: MD.
How much does GREGG KOLDENHOVEN, MD prescribe under Medicare Part D?
In 2023, GREGG KOLDENHOVEN, MD wrote 274 Medicare Part D claims totaling $9K in drug costs for 162 beneficiaries.
What is GREGG KOLDENHOVEN, MD's Medicare quality score?
GREGG KOLDENHOVEN, MD has a CMS MIPS Final Score of 88.5826/100 (Quality: 79.2412). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GREGG KOLDENHOVEN, MD located?
GREGG KOLDENHOVEN, MD is located at 1610 DRY CREEK DR, LONGMONT, CO, 80503. Phone: (303) 772-1600.
What is GREGG KOLDENHOVEN, MD's NPI number?
GREGG KOLDENHOVEN, MD's National Provider Identifier (NPI) is 1396740411, issued on 06/15/2005.
Does GREGG KOLDENHOVEN, MD prescribe more brand-name or generic drugs?
GREGG KOLDENHOVEN, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $7K in brand drug costs.
Does GREGG KOLDENHOVEN, MD prescribe opioids?
Yes, GREGG KOLDENHOVEN, MD had 99 opioid claims in 2023 with an opioid prescribing rate of 36.1%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does GREGG KOLDENHOVEN, MD prescribe most often?
Based on 2023 Medicare Part D data, GREGG KOLDENHOVEN, MD's most frequently prescribed drugs include Meloxicam, Oxycodone-Acetaminophen, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GREGG KOLDENHOVEN, MD accept Medicare?
GREGG KOLDENHOVEN, MD appears in CMS Medicare data with 274 Part D claims and 162 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GREGG KOLDENHOVEN, MD's credentials?
GREGG KOLDENHOVEN, MD's NPI is 1396740411 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology