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SPECIALTY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
NPI 1437684453
Orthopaedic Surgery in Fort Mill, SC

Active since April 27, 2017
130 CRISANTO AVENUE, SUITE B, FORT MILL, SC 29715(803) 548-6464(803) 396-8440 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2026, Nov 18, 2020, Jun 11, 2018 and 1 more (4 updates tracked since 2017).

About Specialty Orthopaedics And Sports Medicine, Llc NPPES

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

SPECIALTY ORTHOPAEDICS AND SPORTS MEDICINE, LLC (NPI 1437684453), doing business as Specortho, is a healthcare organization registered as an orthopaedic surgery in Fort Mill, South Carolina and active in the NPI registry since April 2017. The organization lists Glen T Feltham, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1437684453
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSPECIALTY ORTHOPAEDICS AND SPORTS MEDICINE, LLC
Location Address130 CRISANTO AVENUE, SUITE BFort Mill, SC 29715
Mailing Address130 Crisanto Avenue, Suite BFort Mill, SC 29715 · (803) 548-6464 · Fax (803) 396-8440
Phone(803) 548-6464
Fax(803) 396-8440
Organization SubpartNo
Authorized OfficialGlen T FelthamOwner, Physician · (570) 452-0097
Enumeration DateApril 27, 2017
Last NPPES UpdateJuly 24, 20264 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1437684453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
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.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysician AssistantTaxonomy 363A00000X
130 CRISANTO AVENUE, Fort Mill, SC 29715
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Other Names 1

Doing Business AsSpecortho

Other Identifiers 1

MedicaidG842SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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)

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

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Specialty Orthopaedics And Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Dhavel Chauhan, DPM
Podiatry
NPI 1326626144
130 CRISANTO AVE STE B
Fort Mill, SC 29715
(803) 548-6464
✔ PECOS✔ Accepts MedicareSame address
Glen Feltham, MD
Orthopedic Surgery
NPI 1194716381
130 CRISANTO AVENUE SUITE B
Fort Mill, SC 29715
(803) 548-6464
✔ PECOS✔ Accepts MedicareSame address
Christopher Sutton, M.D.
Orthopedic Surgery
NPI 1366857849
130 CRISANTO AVE STE B
Fort Mill, SC 29715
(803) 548-6464
✔ PECOS✔ Accepts MedicareSame address
Brian Tallerico, DO
Orthopedic Surgery
NPI 1538137724
986 WELLNESS WAY STE 300
Fort Mill, SC 29715
(803) 930-9401
✔ PECOS✔ Accepts Medicare2.8 mi

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 Specialty Orthopaedics And Sports Medicine, LLC's NPI number?

The NPI number for Specialty Orthopaedics And Sports Medicine, LLC is 1437684453. It was assigned to this organization in the NPPES registry on April 27, 2017. The provider is doing business as SpecOrtho.

Where is Specialty Orthopaedics And Sports Medicine, LLC located?

Specialty Orthopaedics And Sports Medicine, LLC is located at 130 Crisanto Avenue Suite B, Fort Mill, SC 29715. The listed phone number is (803) 548-6464.

What is Specialty Orthopaedics And Sports Medicine, LLC's specialty?

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

Is Specialty Orthopaedics And Sports Medicine, LLC enrolled in Medicare?

Yes. Specialty Orthopaedics And Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialty Orthopaedics And Sports Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Specialty Orthopaedics And Sports Medicine, 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 Orthopedic Surgery (3) and Podiatry (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Specialty Orthopaedics And Sports Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 1 other insurer list Specialty Orthopaedics And Sports Medicine, LLC 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 Specialty Orthopaedics And Sports Medicine, LLC was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.