HAROLD M ANTWINE MD
NPI 1538268164
Orthopaedic Surgery in Jackson, TN

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
85.42/100
CMS Quality Rating
24 PHYSICIANS DR, JACKSON, TN 38305(731) 661-9825(731) 668-6757 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Harold M Antwine Md NPPES

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

HAROLD M ANTWINE MD (NPI 1538268164) is an individual orthopaedic surgery provider in Jackson, Tennessee, licensed in Tennessee (MD30684) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Tulane University School Of Medicine (1991).

NPPES Registry Identity

NPI1538268164
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameHAROLD M ANTWINECredential: MD
Location Address24 PHYSICIANS DRJackson, TN 38305
Mailing Address24 Physicians DrJackson, TN 38305 · (731) 661-9825 · Fax (731) 668-6757
Fax(731) 668-6757
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 1991
Enumeration DateSeptember 21, 2006
Last NPPES UpdateNovember 2, 2015
✔ NPI 1538268164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TN · MD30684
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 · License MD30684 (TN)
24 PHYSICIANS DR, Jackson, TN 38305

Other Identifiers 4

Medicare UPING26877TN
Medicare NSC0369490001TN
MedicaidQ010031TN
Medicare PIN3826057TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Harold M Antwine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608037957
PECOS Enrollment IDI20120412000352
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.

Areas of Expertise CMS Part B claims 19

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.

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.
350 services232 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
265 services141 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.
262 services187 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
129 services87 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
92 services60 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
87 services45 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Hardin Medical Center

Acute Care Hospitals · Savannah, TN
OwnershipGovernment - Local
CMS Certification Number440109
Location935 Wayne RoadSavannah, TN 38372 · Hardin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

85.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95
Improvement Activities40
Cost60.58

Reported Quality Measures

Documentation of Current Medications in the Medical Record
83%2,444 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%628 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
53%1,097 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,658 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,433 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 54% · 1,300 patients
Patients screened: 61% · 1,300 patients
44%170 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 643 patients
Patients totalRate: 1% · 643 patients
1%643 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers24 claims24 services$59.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Physical Therapist
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery
24 PHYSICIANS DR
JACKSON, TN 38305
Pediatrics
24 PHYSICIANS DR
JACKSON, TN 38305
Nurse Practitioner
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery (Sports Medicine)
24 PHYSICIANS DR
JACKSON, TN 38305
Orthopaedic Surgery
24 PHYSICIANS DR
JACKSON, TN 38305

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 Harold Antwine's NPI number?

The NPI number for Harold Antwine is 1538268164. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Harold Antwine located?

Harold Antwine practices at 24 Physicians Dr, Jackson, TN 38305. The listed phone number is (731) 661-9825.

What is Harold Antwine's specialty?

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

Is Harold Antwine enrolled in Medicare?

Yes. Harold Antwine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Harold Antwine accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Harold Antwine 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 Harold Antwine affiliated with any hospitals?

According to CMS data, Harold Antwine is affiliated with Jackson-Madison County General Hospital and Hardin Medical Center.

When was this NPI record last updated?

The NPPES record for Harold Antwine was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.