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ST CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
NPI 1720041288
Orthopaedic Surgery in Saint Clair Shores, MI

Active since April 07, 2006
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080(586) 773-1300 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 23, 2024, Jul 21, 2022, Feb 5, 2021 (3 updates tracked since 2021).

About St Clair Orthopaedics And Sports Medicine Pc NPPES

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

ST CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC (NPI 1720041288) is a healthcare organization registered as an orthopaedic surgery in Saint Clair Shores, Michigan and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Macomb and lists Christopher L Lee, President, as its authorized official.

NPPES Registry Identity

NPI1720041288
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameST CLAIR ORTHOPAEDICS AND SPORTS MEDICINE PC
Location Address23829 LITTLE MACK AVE STE 100Saint Clair Shores, MI 48080-1186
Mailing Address22701 Hall Rd Ste 100Macomb, MI 48042-5270 · (586) 416-4265 · Fax (586) 416-0867
Phone(586) 773-1300
Organization SubpartNo
Authorized OfficialChristopher L LeePresident · (586) 416-1300
Enumeration DateApril 7, 2006
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1720041288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
23829 LITTLE MACK AVE STE 100, Saint Clair Shores, MI 48080
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Secondary Practice Location 1

Location 122701 Hall Rd Ste 100Macomb, MI 48042-5270 · Phone (586) 416-4265 · Fax (586) 416-0867

Other Identifiers 2

Other0403130001MI · Medicare Supplier
Other0E02122MI · Blue Cross

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 Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

St Clair Orthopaedics And Sports Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to St Clair Orthopaedics And Sports Medicine PC, which bills Medicare for the services they deliver. Of these, 18 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Orthopedic Surgery13
Physical Therapist in Private Practice6
Nurse Practitioner5
Occupational Therapist in Private Practice2
Pain Management1

Nearest to this location (20)

See all 27
Kirk Cleland, MD
Orthopedic Surgery
NPI 1902061419
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Anthony Fazi, NP
Nurse Practitioner
NPI 1851743140
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Michael Maceroni
Orthopedic Surgery
NPI 1003231796
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Linda Mcparlan, NP
Nurse Practitioner
NPI 1295781540
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Samer Saqqa, DO
Orthopedic Surgery
NPI 1629252689
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Courtney Sauter, OTRL
Occupational Therapist in Private Practice
NPI 1326627324
23829 LITTLE MACK AVE
Saint Clair Shores, MI 48080
(586) 773-1300
✔ Accepts MedicareSame address
Stefan Smolenski
Nurse Practitioner
NPI 1427690734
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOSSame address
Christopher Zingas, MD
Orthopedic Surgery
NPI 1215999339
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOSSame address
Mark Bergin, M.D.
Orthopedic Surgery
NPI 1831365477
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Damon Collier, P.T.
Physical Therapist in Private Practice
NPI 1457416406
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 416-4281
✔ Accepts MedicareSame address
James Dietz, MD
Orthopedic Surgery
NPI 1609838291
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Christopher Lee, MD
Orthopedic Surgery
NPI 1679536023
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Richard Perry, MD
Orthopedic Surgery
NPI 1467414052
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Nicholas Schoch, MD
Orthopedic Surgery
NPI 1366406548
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Matthew Schramski, DO
Orthopedic Surgery
NPI 1760694533
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Kanwaldeep Sidhu, MD
Orthopedic Surgery
NPI 1770545956
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Jean Edmondson, NP
Nurse Practitioner
NPI 1992742753
23829 LITTLE MACK AVE SUITE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ PECOS✔ Accepts MedicareSame address
Sachin Venkatachalam, PT
Physical Therapist in Private Practice
NPI 1003487265
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
(586) 773-1300
✔ Accepts MedicareSame address
Michelle Schmatz, DPT
Physical Therapist in Private Practice
NPI 1518466184
25990 CROCKER BLVD
Harrison Twp, MI 48045
(586) 466-5234
✔ Accepts Medicare7.4 mi
Kenneth Ierardi, DO
Orthopedic Surgery
NPI 1891256137
15855 19 MILE RD
Clinton Township, MI 48038
(978) 778-8067
✔ PECOS✔ Accepts Medicare10 mi
See all 27 clinicians

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 St Clair Orthopaedics And Sports Medicine PC's NPI number?

The NPI number for St Clair Orthopaedics And Sports Medicine PC is 1720041288. It was assigned to this organization in the NPPES registry on April 7, 2006.

Where is St Clair Orthopaedics And Sports Medicine PC located?

St Clair Orthopaedics And Sports Medicine PC is located at 23829 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 773-1300.

What is St Clair Orthopaedics And Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is St Clair Orthopaedics And Sports Medicine PC enrolled in Medicare?

Yes. St Clair Orthopaedics And Sports Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Clair Orthopaedics And Sports Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to St Clair Orthopaedics And Sports Medicine PC. 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 (13), Physical Therapist in Private Practice (6) and Nurse Practitioner (5). Of these, 18 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Clair Orthopaedics And Sports Medicine PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list St Clair Orthopaedics And Sports Medicine PC 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 St Clair Orthopaedics And Sports Medicine PC was last updated on September 23, 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.