WEST STATE ORTHOPEDICS & SPORT MEDICINE
NPI 1639376031
Specialist in Leesville, LA
About West State Orthopedics & Sport Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEST STATE ORTHOPEDICS & SPORT MEDICINE (NPI 1639376031) is a healthcare organization registered as a specialist in Leesville, Louisiana and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 25, 2027 and lists Anthony R Jennings, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
West State Orthopedics & Sport Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to West State Orthopedics & Sport Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2058025
West State Orthopedics And Sports Medicine Clinic · Leesville, LAFrequently 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 West State Orthopedics & Sport Medicine's NPI number?
The NPI number for West State Orthopedics & Sport Medicine is 1639376031. It was assigned to this organization in the NPPES registry on June 28, 2007.
Where is West State Orthopedics & Sport Medicine located?
West State Orthopedics & Sport Medicine is located at 908 S 10th St Ste A, Leesville, LA 71446. The listed phone number is (337) 392-2330.
What is West State Orthopedics & Sport Medicine's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is West State Orthopedics & Sport Medicine enrolled in Medicare?
Yes. West State Orthopedics & Sport Medicine is registered in the Medicare PECOS enrollment system.
When is West State Orthopedics & Sport Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through West State Orthopedics & Sport Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to West State Orthopedics & Sport Medicine, in Nurse Practitioner and Orthopedic Surgery. 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 at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does West State Orthopedics & Sport Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2058025) is associated with this NPI, valid through April 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does West State Orthopedics & Sport Medicine accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list West State Orthopedics & Sport Medicine 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 West State Orthopedics & Sport Medicine was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# West State Orthopedics & Sport Medicine · NPI 1639376031
Specialist organization in Leesville, Louisiana. Organization record, active in the CMS NPPES registry since June 28, 2007.
## Identity
- **NPI:** 1639376031 (Entity type: Organization)
- **Enumerated:** June 28, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Anthony Jennings, OFFICE MANAGER
## Practice location
- **Address:** 908 S 10TH ST STE A, Leesville, LA 71446-4614
- **Phone:** (337) 392-2330 · **Fax:** (337) 392-2580
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Orthopedic Surgery (1); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639376031) · Data from the CMS NPPES public registry.