ORTHO PLUS HOLDINGS LLC
NPI 1548620529
Orthopaedic Surgery - Sports Medicine in Oklahoma City, OK

Active since March 03, 2016
12301 S WESTERN AVE STE A3, OKLAHOMA CITY, OK 73170(056) 768-6434(405) 676-8644 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Aug 18, 2022, Oct 25, 2018 and 2 more (5 updates tracked since 2016).

About Ortho Plus Holdings Llc NPPES

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

ORTHO PLUS HOLDINGS LLC (NPI 1548620529) is a healthcare organization registered as a sports medicine in Oklahoma City, Oklahoma and active in the NPI registry since March 2016. The organization lists Brent K Holliman, Officer, as its authorized official.

NPPES Registry Identity

NPI1548620529
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameORTHO PLUS HOLDINGS LLC
Location Address12301 S WESTERN AVE STE A3Oklahoma City, OK 73170-6085
Mailing Address301 Lilac Dr Ste 140Edmond, OK 73034-7288
Fax(405) 676-8644
Organization SubpartNo
Authorized OfficialBrent K HollimanOfficer · (405) 285-2994
Enumeration DateMarch 3, 2016
Last NPPES UpdateApril 25, 20245 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1548620529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in OK · 19051
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
12301 S WESTERN AVE STE A3, Oklahoma City, OK 73170

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Plus Holdings Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Ortho Plus Holdings LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Sports Medicine
NPI 1164496238
3110 SW 89TH ST SUITE 200C
Oklahoma City, OK 73159
(405) 759-2663
✔ PECOS✔ Accepts Medicare3.1 mi
Diagnostic Radiology
NPI 1588699136
3414 S BROADWAY
Edmond, OK 73013
(405) 216-9100
✔ PECOS✔ Accepts Medicare19 mi
Physical Medicine and Rehabilitation
NPI 1760646392
941 W I 35 FRONTAGE RD STE 164
Edmond, OK 73034
(405) 285-2994
✔ PECOS✔ Accepts Medicare27 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 Ortho Plus Holdings LLC's NPI number?

The NPI number for Ortho Plus Holdings LLC is 1548620529. It was assigned to this organization in the NPPES registry on March 3, 2016.

Where is Ortho Plus Holdings LLC located?

Ortho Plus Holdings LLC is located at 12301 S Western Ave Ste A3, Oklahoma City, OK 73170. The listed phone number is (056) 768-6434.

What is Ortho Plus Holdings LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Ortho Plus Holdings LLC enrolled in Medicare?

Yes. Ortho Plus Holdings LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ortho Plus Holdings LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ortho Plus Holdings LLC, in Diagnostic Radiology, Physical Medicine and Rehabilitation and Sports Medicine. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ortho Plus Holdings LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Ortho Plus Holdings 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 Ortho Plus Holdings LLC was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.