ORTHOPEDIC & SPORTS MEDICINE CENTER LLC
NPI 1093780645
Specialist in Saint Joseph, MO
About Orthopedic & Sports Medicine Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ORTHOPEDIC & SPORTS MEDICINE CENTER LLC (NPI 1093780645) is a healthcare organization registered as a specialist in Saint Joseph, Missouri and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through June 20, 2028, maintains a secondary practice location in Saint Joseph, and lists Sioux Kearnes, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Orthopedic & Sports Medicine Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Orthopedic & Sports Medicine Center LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 22Saint Joseph, MO 64506
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0947574
Orthopedic & Sports Medicine Center, LLC · Saint Joseph, MOFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Orthopedic & Sports Medicine Center LLC's NPI number?
The NPI number for Orthopedic & Sports Medicine Center LLC is 1093780645. It was assigned to this organization in the NPPES registry on February 17, 2006.
Where is Orthopedic & Sports Medicine Center LLC located?
Orthopedic & Sports Medicine Center LLC is located at 3107 Frederick Ave Suite B, Saint Joseph, MO 64506. The listed phone number is (816) 233-9888.
What is Orthopedic & Sports Medicine Center LLC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Orthopedic & Sports Medicine Center LLC enrolled in Medicare?
Yes. Orthopedic & Sports Medicine Center LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Orthopedic & Sports Medicine Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 5 Medicare specialties reassign their Medicare billing to Orthopedic & Sports Medicine Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Orthopedic Surgery (8), Physical Therapist in Private Practice (7) and Nurse Practitioner (5). Of these, 9 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Orthopedic & Sports Medicine Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0947574) is associated with this NPI, valid through June 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Orthopedic & Sports Medicine Center LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Orthopedic & Sports Medicine Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Orthopedic & Sports Medicine Center LLC was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Orthopedic & Sports Medicine Center Llc · NPI 1093780645
Specialist organization in Saint Joseph, Missouri. Organization record, active in the CMS NPPES registry since February 17, 2006.
## Identity
- **NPI:** 1093780645 (Entity type: Organization)
- **Enumerated:** February 17, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Sioux Kearnes, OFFICE MANAGER
## Practice location
- **Address:** 3107 FREDERICK AVE, SUITE B, Saint Joseph, MO 64506-2911
- **Phone:** (816) 233-9888 · **Fax:** (816) 233-0414
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (8), Physical Therapist in Private Practice (7), Nurse Practitioner (5); 9 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1093780645/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093780645) · Data from the CMS NPPES public registry.