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ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, PC
NPI 1417066788
Orthopaedic Surgery in Casa Grande, AZ

Active since August 30, 2006
1760 E FLORENCE BLVD, SUITE 120, CASA GRANDE, AZ 85122(520) 426-1000(520) 426-1395 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Mar 27, 2017 (2 updates tracked since 2017).

About Advanced Orthopaedics And Sports Medicine, Pc NPPES

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

ADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, PC (NPI 1417066788) is a healthcare organization registered as an orthopaedic surgery in Casa Grande, Arizona and active in the NPI registry since August 2006. The organization maintains a secondary practice location in Chandler and lists Bryan K. Matanky, Owner, as its authorized official.

NPPES Registry Identity

NPI1417066788
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameADVANCED ORTHOPAEDICS AND SPORTS MEDICINE, PC
Location Address1760 E FLORENCE BLVD, SUITE 120Casa Grande, AZ 85122-4764
Mailing Address1760 E Florence Blvd, Suite 120Casa Grande, AZ 85122-4764 · (520) 426-1000 · Fax (520) 426-1395
Phone(520) 426-1000
Fax(520) 426-1395
Organization SubpartNo
Authorized OfficialBryan K. MatankyOwner · (520) 426-1000
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1417066788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in AZ · 22110
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.
1760 E FLORENCE BLVD, Casa Grande, AZ 85122
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Secondary Practice Location 1

Location 11100 S Dobson Rd Ste 203Chandler, AZ 85286-6160 · Phone (520) 426-1000 · Fax (520) 426-1395

Other Identifiers 4

Medicaid344579AZ
OtherF66298AZ · Mercy Health Plans
MedicaidF00672AZ
OtherCH9210AZ · Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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)

Advanced Orthopaedics And Sports Medicine, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Orthopaedics And Sports Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bryan Matanky, M.D.
Orthopedic Surgery
NPI 1205945482
1760 E FLORENCE BLVD SUITE 120
Casa Grande, AZ 85222
(520) 426-1000
✔ PECOS✔ Accepts MedicareSame address

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 Advanced Orthopaedics And Sports Medicine, PC's NPI number?

The NPI number for Advanced Orthopaedics And Sports Medicine, PC is 1417066788. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Advanced Orthopaedics And Sports Medicine, PC located?

Advanced Orthopaedics And Sports Medicine, PC is located at 1760 E Florence Blvd Suite 120, Casa Grande, AZ 85122. The listed phone number is (520) 426-1000.

What is Advanced Orthopaedics And Sports Medicine, PC's specialty?

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

Is Advanced Orthopaedics And Sports Medicine, PC enrolled in Medicare?

Yes. Advanced Orthopaedics And Sports Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Orthopaedics And Sports Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Advanced Orthopaedics And Sports Medicine, PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Orthopaedics And Sports Medicine, PC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Advanced Orthopaedics And Sports Medicine, PC 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 Advanced Orthopaedics And Sports Medicine, PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.