FULCRUM ORTHOPAEDICS, PLLC
NPI 1225394471
Orthopaedic Surgery in Plano, TX

NPI Status: Active since April 02, 2012

Contact Information

7715 SAN JACINTO PL
SUITE 200
PLANO, TX
ZIP 75024
Phone: (469) 209-8099
Fax: (972) 618-4444

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  • Organization
  • Orthopaedic Surgery
  • Accepts Insurance

About FULCRUM ORTHOPAEDICS, PLLC

This page provides the complete NPI Profile along with additional information for Fulcrum Orthopaedics, Pllc, a provider established in Plano, Texas operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1225394471 assigned on April 2012. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Fulcrum Orthopaedics, Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's former legal business name is Orthopaedic Elective Specialists, Pllc. The authorized official of this NPI record is Dr. Michael Blake Sanders M.d. (Ceo)

NPI
1225394471
Provider Legal Name
FULCRUM ORTHOPAEDICS, PLLC
Other Organization Name
ORTHOPAEDIC ELECTIVE SPECIALISTS, PLLC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
7715 SAN JACINTO PL SUITE 200 PLANO, TX 75024
Location Phone
(469) 209-8099
Location Fax
(972) 618-4444
Mailing Address
7715 SAN JACINTO PL SUITE 200 PLANO, TX 75024
Mailing Phone
(469) 209-8099
Mailing Fax
(972) 618-4444
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2012
Last Update Date
03-28-2017
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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
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)
1207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

 

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:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Saver 750 - HMO
  • Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
  • Molina Gold Saver 750 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver with Four Free PCP Visits - HMO
  • Molina Silver Standard - HMO
  • Wellpoint Essential Bronze 4000 HSA (+ Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic (+ Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

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

DR. MICHAEL BLAKE SANDERS M.D.

Authorized Official Title
CEO
Authorized Official Phone
(214) 245-4424

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
TXB166573MEDICARE PIN (08)TX 
122539OTHER (01)TXBLUE CROSS BLUE SHIELD
324751201MEDICAID (05)TX 

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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 1225394471, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
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 2 → 4 3 → 6 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 6 + 9 + 8 + 4 + 1 + 4 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1225394471.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Orthopaedic Trauma)
7715 SAN JACINTO PL, SUITE 100
PLANO, TX 75024
Orthopaedic Surgery
7715 SAN JACINTO PL, SUITE 200
PLANO, TX 75024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225394471, enumerated as an "organization" on April 02, 2012.

The provider is located at 7715 SAN JACINTO PL SUITE 200 PLANO, TX 75024 and the phone number is (469) 209-8099.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Molina Healthcare, WellPoint, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.