MERITUS SPORTS MEDICINE
NPI 1184481459
Internal Medicine - Sports Medicine in Hagerstown, MD
About Meritus Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERITUS SPORTS MEDICINE (NPI 1184481459) is a healthcare organization registered as a sports medicine in Hagerstown, Maryland and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through July 1, 2028 and lists Joshua Repac, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Meritus Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
242Medicare enrollment records show 242 clinicians reassign Medicare billing to Meritus Sports Medicine, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 170 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 242Hagerstown, MD 21742
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 21D2307114
Meritus Sports Medicine - Valley Mall · Hagerstown, MDFrequently 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 Medical Practices Of Antietam LLC's NPI number?
The NPI number for Medical Practices Of Antietam LLC is 1184481459. It was assigned to this organization in the NPPES registry on March 4, 2024. The provider is doing business as Meritus Sports Medicine.
Where is Medical Practices Of Antietam LLC located?
Medical Practices Of Antietam LLC is located at 17301 Valley Mall Rd Ste 125, Hagerstown, MD 21740. The listed phone number is (301) 790-9237.
What is Medical Practices Of Antietam LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.
Is Medical Practices Of Antietam LLC enrolled in Medicare?
Yes. Medical Practices Of Antietam LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medical Practices Of Antietam LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 242 clinicians in 36 Medicare specialties reassign their Medicare billing to Medical Practices Of Antietam 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 Nurse Practitioner (65), Family Practice (29) and General Surgery (21). Of these, 2 practice at this address and 170 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Practices Of Antietam LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2307114) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medical Practices Of Antietam LLC was last updated on March 5, 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.
# Meritus Sports Medicine · NPI 1184481459
Sports Medicine organization in Hagerstown, Maryland. Organization record, active in the CMS NPPES registry since March 4, 2024.
## Identity
- **NPI:** 1184481459 (Entity type: Organization)
- **Enumerated:** March 4, 2024
- **Primary specialty:** Internal Medicine - Sports Medicine · taxonomy 207RS0010X
- **Legal business name:** Medical Practices Of Antietam Llc
- **Organization subpart:** No
- **Authorized official:** Joshua Repac, CFO
## Practice location
- **Address:** 17301 VALLEY MALL RD STE 125, Hagerstown, MD 21740-6966
- **Phone:** (301) 790-9237
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 242 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (65), Family Practice (29), General Surgery (21); 2 practice at this address and 170 within 10 miles; [full list](https://npiprofile.com/npi/1184481459/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1184481459) · Data from the CMS NPPES public registry.