TRI-STATE ORTHOPAEDIC SURGEONS, INC.
NPI 1073501003
Orthopaedic Surgery in Evansville, IN

NPI Status: Active since October 13, 2005

Contact Information

225 CROSSLAKE DR
EVANSVILLE, IN
ZIP 47715
Phone: (812) 477-1558

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance
  • CLIA Number: 15D2248889
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-17-2028

About TRI-STATE ORTHOPAEDIC SURGEONS, INC.

This page provides the complete NPI Profile along with additional information for Tri-state Orthopaedic Surgeons, Inc., a provider established in Evansville, Indiana operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1073501003 assigned on October 2005. The practitioner's primary taxonomy code is 207X00000X with license number 50000637A (IN). The provider is registered as an organization and their NPI record was last updated 7 years ago. Tri-state Orthopaedic Surgeons, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Philip Rawley Mba (Ceo)

NPI
1073501003
Provider Name
TRI-STATE ORTHOPAEDIC SURGEONS, INC.
Entity Type
Organization
Location Address
225 CROSSLAKE DR EVANSVILLE, IN 47715
Location Phone
(812) 477-1558
Mailing Address
225 CROSSLAKE DR EVANSVILLE, IN 47715
Mailing Phone
(812) 477-1558
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2005
Last Update Date
10-04-2019
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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.
50000637A
License State
IN
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
2213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
3213ES0103XPodiatric Medicine & Surgery Service Providers

Podiatrist
Foot & Ankle Surgery

 
4332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
5363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
6363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 
7363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 
8363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - 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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PHILIP RAWLEY MBA

Authorized Official Title
CEO
Authorized Official Phone
(812) 477-1558

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
000000071424OTHER (01)INANTHEM
100241560AMEDICAID (05)IN 
123637OTHER (01)HEALTHLINK

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
15D2248889
Facility Type
Physician Office
Certificate Effective Date
January 18, 2026
Certificate Expiration Date
January 17, 2028
Laboratory Director
JULIE NEWTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tri-state Orthopaedic Surgeons, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for TRI-STATE ORTHOPAEDIC SURGEONS, INC.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073501003, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 37. The final step is to find the difference between that total and the next multiple of ten (40 - 37 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 0 + 0 + 2 + 0 + 0 + 24 = 37

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 37 is 40. The difference is the calculated check digit.

40 - 37 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1073501003.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Nurse Practitioner
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery (Sports Medicine)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Medicine & Rehabilitation
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery (Foot and Ankle Surgery)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Podiatrist (Foot & Ankle Surgery)
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Orthopaedic Surgery
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Occupational Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Occupational Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapy Assistant
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapist
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Occupational Therapy Assistant
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Nurse Practitioner
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Physical Therapy Assistant
225 CROSSLAKE DR
EVANSVILLE, IN 47715
Nurse Practitioner
225 CROSSLAKE DR
EVANSVILLE, IN 47715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073501003, enumerated as an "organization" on October 13, 2005.

The provider is located at 225 CROSSLAKE DR EVANSVILLE, IN 47715 and the phone number is (812) 477-1558.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.