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LIBERTY KNEE CENTER
NPI 1639771348
Orthopaedic Surgery - Sports Medicine in Poulsbo, WA

Active since November 09, 2020
20696 BOND RD NE STE 205, POULSBO, WA 98370(360) 930-0222(360) 210-1429 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2021, Dec 27, 2020, Nov 9, 2020 (3 updates tracked since 2020).

About Liberty Knee Center NPPES

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

LIBERTY KNEE CENTER (NPI 1639771348) is a healthcare organization registered as a sports medicine in Poulsbo, Washington and active in the NPI registry since November 2020. The organization lists John Reid West, President/provider, as its authorized official.

NPPES Registry Identity

NPI1639771348
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameLIBERTY ORTHOPEDICS PS
Location Address20696 BOND RD NE STE 205Poulsbo, WA 98370-9025
Mailing Address20696 Bond Rd Ne Ste 205Poulsbo, WA 98370-9025 · (360) 930-0222 · Fax (360) 210-1429
Phone(360) 930-0222
Fax(360) 210-1429
Organization SubpartNo
Authorized OfficialJohn Reid WestPresident/provider · (360) 801-7966
Enumeration DateNovember 9, 2020
Last NPPES UpdateJanuary 19, 20213 updates tracked since enumeration
NPPES CertifiedDecember 27, 2020
✔ NPI 1639771348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
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.
20696 BOND RD NE STE 205, Poulsbo, WA 98370
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Other Names 1

Doing Business AsLiberty Knee Center

Other Identifiers 1

Medicaid2169137WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.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)

Liberty Knee Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Liberty Knee Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

John West, M.D.
Orthopedic Surgery
NPI 1043473598
20696 BOND RD NE STE 205
Poulsbo, WA 98370
(360) 930-0222
✔ PECOS✔ Accepts MedicareSame address

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 Liberty Orthopedics Ps's NPI number?

The NPI number for Liberty Orthopedics Ps is 1639771348. It was assigned to this organization in the NPPES registry on November 9, 2020. The provider is doing business as Liberty Knee Center.

Where is Liberty Orthopedics Ps located?

Liberty Orthopedics Ps is located at 20696 Bond Rd NE Ste 205, Poulsbo, WA 98370. The listed phone number is (360) 930-0222.

What is Liberty Orthopedics Ps's specialty?

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

Is Liberty Orthopedics Ps enrolled in Medicare?

Yes. Liberty Orthopedics Ps is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liberty Orthopedics Ps?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Liberty Orthopedics Ps. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Liberty Orthopedics Ps accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Liberty Orthopedics Ps 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 Liberty Orthopedics Ps was last updated on January 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.