ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC
NPI 1689304982
Orthopaedic Surgery - Sports Medicine in Fairbanks, AK

Q: What is Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC's specialty?

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

Active since June 10, 2022

2310 PEGER RD STE 105, FAIRBANKS, AK 99709(907) 479-2663(907) 479-2691 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Orthopedic & Sportsmedicine Clinic Of Fairbanks Llc NPPES

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

ORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC (NPI 1689304982) is a healthcare organization registered as a sports medicine in Fairbanks, Alaska and active in the NPI registry since June 2022. The organization lists Neal Everson, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1689304982

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameORTHOPEDIC & SPORTSMEDICINE CLINIC OF FAIRBANKS LLC

Location Address2310 PEGER RD STE 105Fairbanks, AK 99709-5305

Mailing Address2310 Peger Rd Ste 105Fairbanks, AK 99709-5305 · (907) 479-2663 · Fax (907) 479-2691

Phone(907) 479-2663

Fax(907) 479-2691

Organization SubpartNo

Authorized OfficialNeal EversonMember Manager · (907) 479-2663

Enumeration DateJune 10, 2022

NPPES CertifiedJune 10, 2022

✔ NPI 1689304982 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.

2310 PEGER RD STE 105, Fairbanks, AK 99709

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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 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)

Orthopedic & Sportsmedicine Clinic Of Fairbanks Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Neal Everson, D.O.

Orthopedic Surgery

NPI 1295175651

2310 PEGER RD STE 105
Fairbanks, AK 99709

(907) 479-2663

✔ PECOS✔ Accepts MedicareSame address

Mark Wade, MD

Orthopedic Surgery

NPI 1356307458

2310 PEGER RD STE 105
Fairbanks, AK 99709

(907) 479-2663

✔ PECOS✔ Accepts MedicareSame address

David Huntsman, D.P.M

Podiatry

NPI 1992091953

1919 LATHROP ST
Fairbanks, AK 99701

(907) 459-3545

✔ PECOS✔ Accepts Medicare1.1 mi

Matthew Burnham, MD

Orthopedic Surgery

NPI 1144844788

1356 LUSITANA ST FL 6
Honolulu, HI 96813

(808) 586-2920

✔ PECOS✔ Accepts Medicare3,039 mi

Hyrum Judd

Osteopathic Manipulative Medicine

NPI 1871952036

7031 SW 62ND AVE
South Miami, FL 33143

(305) 284-7761

✔ PECOS3,968 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 Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC's NPI number?

The NPI number for Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC is 1689304982. It was assigned to this organization in the NPPES registry on June 10, 2022.

Where is Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC located?

Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC is located at 2310 Peger Rd Ste 105, Fairbanks, AK 99709. The listed phone number is (907) 479-2663.

What is Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC's specialty?

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

Is Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC enrolled in Medicare?

Yes. Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC. 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 Orthopedic Surgery (3), Osteopathic Manipulative Medicine (1) and Podiatry (1). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Orthopedic & Sportsmedicine Clinic Of Fairbanks 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 Orthopedic & Sportsmedicine Clinic Of Fairbanks LLC was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.