JERRY ORTHOPAEDIC INSTITUTE, PLLC
NPI 1184175812
Orthopaedic Surgery in Port Huron, MI

Active since October 18, 2016
600 FORT ST, SUITE 100, PORT HURON, MI 48060(810) 987-9871(810) 987-6070 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jerry Orthopaedic Institute, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY ORTHOPAEDIC INSTITUTE, PLLC (NPI 1184175812) is a healthcare organization registered as an orthopaedic surgery in Port Huron, Michigan and active in the NPI registry since October 2016. The organization lists Gerald J Jerry, President, as its authorized official.

NPPES Registry Identity

NPI1184175812
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJERRY ORTHOPAEDIC INSTITUTE, PLLC
Location Address600 FORT ST, SUITE 100Port Huron, MI 48060-3941
Mailing Address2009 River RdSaint Clair, MI 48079-4251 · (810) 329-7857
Fax(810) 987-6070
Organization SubpartNo
Authorized OfficialGerald J JerryPresident · (810) 987-9871
Enumeration DateOctober 18, 2016
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1184175812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
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.
600 FORT ST, Port Huron, MI 48060

Other Identifiers 1

Medicaid2896292MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Orthopaedic Institute, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jerry Orthopaedic Institute, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Orthopedic Surgery
NPI 1821068594
600 FORT ST SUITE 100
Port Huron, MI 48060
(810) 987-9871
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1558855155
1107 STONE ST STE 3
Port Huron, MI 48060
(810) 204-4494
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Jerry Orthopaedic Institute, PLLC's NPI number?

The NPI number for Jerry Orthopaedic Institute, PLLC is 1184175812. It was assigned to this organization in the NPPES registry on October 18, 2016.

Where is Jerry Orthopaedic Institute, PLLC located?

Jerry Orthopaedic Institute, PLLC is located at 600 Fort St Suite 100, Port Huron, MI 48060. The listed phone number is (810) 987-9871.

What is Jerry Orthopaedic Institute, PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Jerry Orthopaedic Institute, PLLC enrolled in Medicare?

Yes. Jerry Orthopaedic Institute, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jerry Orthopaedic Institute, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jerry Orthopaedic Institute, PLLC, in Orthopedic Surgery and Podiatry. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jerry Orthopaedic Institute, PLLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.