DR. WILLIAM LIGHTHART M.D.
NPI 1427004647
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Jackson, WY

Q: What is William Lighthart's NPI number?

The NPI number for William Lighthart is 1427004647. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Q: What is William Lighthart's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for William Lighthart was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 26, 2006PECOS Enrolled

17.06/100

CMS Quality Rating

555 E BROADWAY AVE, JACKSON, WY 83001(307) 733-3900(307) 732-0925 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. William Lighthart M.d. NPPES

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

DR. WILLIAM LIGHTHART M.D. (NPI 1427004647) is an individual adult reconstructive orthopaedic surgery provider in Jackson, Wyoming, licensed in Illinois (036115858) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Teton Valley Hospital, and maintains a secondary practice location in Rutland.

NPPES Registry Identity

NPI1427004647

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. WILLIAM LIGHTHARTCredential: M.D.

Location Address555 E BROADWAY AVEJackson, WY 83001-8640

Mailing AddressPo Box 10490Jackson, WY 83002-0490 · (307) 733-3900 · Fax (307) 732-0925

Phone(307) 733-3900

Fax(307) 732-0925

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000

Enumeration DateMay 26, 2006

Last NPPES UpdateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1427004647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in IL · 036115858

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

555 E BROADWAY AVE, Jackson, WY 83001

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Secondary Practice Location 1

Location 13 Albert Cree DrRutland, VT 05701-4601 · Phone (802) 775-2937 · Fax (802) 773-2204

Other Identifiers 2

Other1336221712WY · 830322741

Other83-0322741WY · 1336221712

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. William Lighthart M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547271629

PECOS Enrollment IDI20210305001075

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show William Lighthart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedics Of Jackson Hole PC

0.1 mi

Orthopaedic Surgery

555 EAST BROADWAY
Jackson, WY 83001

Reassigned Medicare billing, Wyoming enrollment
10 clinicians in this Medicare group

NPI 1336221712 (307) 733-3900

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

Areas of Expertise CMS Part B claims 24

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

461 services38 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

394 services306 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

304 services266 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

292 services224 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

262 services247 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

242 services149 patients

Therapy procedure using manual technique, each 15 minutes 97140

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

231 services31 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

162 services146 patients

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321

Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.

101 services31 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

95 services21 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

95 services19 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

89 services85 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

78 services57 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

66 services64 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

54 services53 patients

X-ray of hip, minimum of 4 views 73503

An X-ray of the hip with a minimum of 4 views is a non-invasive procedure that uses a small amount of radiation to produce images of the hip joint from different angles. This helps to diagnose conditions such as fractures, arthritis, or other abnormalities. It's a quick, painless process.

36 services36 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

32 services32 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

26 services26 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

25 services22 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

23 services22 patients

Evaluation for physical therapy, typically 20 minutes 97161

An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.

21 services21 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Teton Valley Hospital

Critical Access Hospitals · Driggs, ID

OwnershipVoluntary non-profit - Private

CMS Certification Number131313

Location120 East Howard AveDriggs, ID 83422 · Teton County

Emergency services

Sagewest Health Care

Acute Care Hospitals · Riverton, WY

1/5 CMS rating

OwnershipProprietary

CMS Certification Number530008

Location2100 W Sunset DrRiverton, WY 82501 · Fremont County

Emergency services

St Johns Medical Center

Acute Care Hospitals · Jackson, WY

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number530015

Location625 East BroadwayJackson, WY 83001 · Teton County

Emergency services Birthing friendly

Star Valley Medical Center

Critical Access Hospitals · Afton, WY

OwnershipGovernment - Hospital District or Authority

CMS Certification Number531313

Location901 Adams StreetAfton, WY 83110 · Lincoln County

Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

17.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

56.88

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEVYN PARNES VORE PA

Physician Assistant

555 E BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 733-3900

FAMILY FIRST HEALTH PC

Nurse Practitioner (Family)

555 E BROADWAY AVE, STE 218
JACKSON, WY 83001

Teton County (307) 201-1696

LAURA A COLLEBRUSCO PT

Physical Therapist

555 E BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 739-7491

SARAH J PETERSON RD

Dietitian, Registered

555 E BROADWAY AVE, STE 201
JACKSON, WY 83001

Teton County (307) 739-7634

TETON COUNTY HOSPITAL DISTRICT

Home Health

555 E BROADWAY AVE, STE 115
JACKSON, WY 83001

Teton County (307) 739-7465

MEGAN ROSE AVERY PA-C

Physician Assistant (Medical)

555 E BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 733-3900

MOUNTAIN THERAPY PLLC

Counselor (Professional)

555 E BROADWAY AVE, SUITE 216
JACKSON, WY 83001

Teton County (404) 483-2555

KAYLA WARD DPT

Physical Therapist

555 E BROADWAY AVE
JACKSON, WY 83001

Teton County (307) 733-3900

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 William Lighthart's NPI number?

The NPI number for William Lighthart is 1427004647. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is William Lighthart located?

William Lighthart practices at 555 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 733-3900.

What is William Lighthart's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is William Lighthart enrolled in Medicare?

Yes. William Lighthart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for William Lighthart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Lighthart reassigns Medicare benefits to Orthopaedics Of Jackson Hole PC (Jackson, WY). The 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 William Lighthart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Lighthart accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list William Lighthart 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.

Is William Lighthart affiliated with any hospitals?

According to CMS data, William Lighthart is affiliated with Teton Valley Hospital, Sagewest Health Care, St Johns Medical Center and Star Valley Medical Center.

When was this NPI record last updated?

The NPPES record for William Lighthart was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.