BLUEWATER ORTHOPEDICS PA
NPI 1417989617
Orthopaedic Surgery in Niceville, FL
About Bluewater Orthopedics Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLUEWATER ORTHOPEDICS PA (NPI 1417989617) is a healthcare organization registered as an orthopaedic surgery in Niceville, Florida and active in the NPI registry since July 2006. The organization lists Thomas M. Fox, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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)
Bluewater Orthopedics Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Bluewater Orthopedics PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Niceville, FL 32578
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 Bluewater Orthopedics PA's NPI number?
The NPI number for Bluewater Orthopedics PA is 1417989617. It was assigned to this organization in the NPPES registry on July 7, 2006.
Where is Bluewater Orthopedics PA located?
Bluewater Orthopedics PA is located at 1950 Bluewater Blvd Suite 100, Niceville, FL 32578. The listed phone number is (850) 897-8081.
What is Bluewater Orthopedics PA's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Bluewater Orthopedics PA enrolled in Medicare?
Yes. Bluewater Orthopedics PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bluewater Orthopedics PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Bluewater Orthopedics PA. 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 (3), Physical Therapist in Private Practice (3) and Hand Surgery (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Bluewater Orthopedics PA was last updated on March 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Bluewater Orthopedics Pa · NPI 1417989617
Orthopaedic Surgery organization in Niceville, Florida. Organization record, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1417989617 (Entity type: Organization)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Fox, PRESIDENT
## Practice location
- **Address:** 1950 BLUEWATER BLVD, SUITE 100, Niceville, FL 32578-3887
- **Phone:** (850) 897-8081 · **Fax:** (850) 897-1520
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Orthopedic Surgery (3), Physical Therapist in Private Practice (3), Hand Surgery (1); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2017
- **Other identifiers:** Medicare NSC 0893890001 (FL); Medicare PIN 40238 (FL); Medicaid 250939300 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1417989617) · Data from the CMS NPPES public registry.