OZARK ORTHOPAEDIC AND SPORTS MEDICINE
NPI 1649210584
Orthopaedic Surgery in Fayetteville, AR
About Ozark Orthopaedic And Sports Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OZARK ORTHOPAEDIC AND SPORTS MEDICINE (NPI 1649210584) is a healthcare organization registered as an orthopaedic surgery in Fayetteville, Arkansas and active in the NPI registry since June 2006. The organization maintains 5 additional practice locations and lists Tracy Davenport, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Names 2
Secondary Practice Locations 5
Other Identifiers 2
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)
Ozark Orthopaedic And Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 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
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Ozark Orthopaedic And Sports Medicine, which bills Medicare for the services they deliver. Of these, 33 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 56Source: 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 Ozark Orthopaedics, P.A.'s NPI number?
The NPI number for Ozark Orthopaedics, P.A. is 1649210584. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Ozark Orthopaedic And Sports Medicine. The provider was formerly known as Orthopaedic Clinic, Ltd..
Where is Ozark Orthopaedics, P.A. located?
Ozark Orthopaedics, P.A. is located at 3317 N Wimberly Dr, Fayetteville, AR 72703. The listed phone number is (479) 521-2752.
What is Ozark Orthopaedics, P.A.'s specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ozark Orthopaedics, P.A. enrolled in Medicare?
Yes. Ozark Orthopaedics, P.A. is registered in the Medicare PECOS enrollment system.
When is Ozark Orthopaedics, P.A.'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 (Arkansas, Clinic/Group Practice) is due for revalidation by December 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 Ozark Orthopaedics, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 8 Medicare specialties reassign their Medicare billing to Ozark Orthopaedics, P.A.. 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 Physical Therapist in Private Practice (27), Occupational Therapist in Private Practice (9) and Orthopedic Surgery (7). Of these, 33 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ozark Orthopaedics, P.A. accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Ozark Orthopaedics, P.A. 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 Ozark Orthopaedics, P.A. was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ozark Orthopaedic And Sports Medicine · NPI 1649210584
Orthopaedic Surgery organization in Fayetteville, Arkansas. Organization record, active in the CMS NPPES registry since June 8, 2006.
## Identity
- **NPI:** 1649210584 (Entity type: Organization)
- **Enumerated:** June 8, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **Legal business name:** Ozark Orthopaedics, P.a.
- **Also known as:** Orthopaedic Clinic, Ltd. (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Tracy Davenport, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 3317 N WIMBERLY DR, Fayetteville, AR 72703-4056
- **Phone:** (479) 521-2752 · **Fax:** (479) 521-4603
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Arkansas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 56 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (27), Occupational Therapist in Private Practice (9), Orthopedic Surgery (7); 33 practice at this address and 37 within 10 miles; [full list](https://npiprofile.com/npi/1649210584/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2023
- **Other identifiers:** Other 205331716 (AR); Medicaid 106296002 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1649210584) · Data from the CMS NPPES public registry.