SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.
NPI 1760423719
Specialist in Peabody, MA

Q: What is Sports Medicine North Orthopaedic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 09, 2006

1 ORTHOPEDIC DR, 2ND FLOOR, PEABODY, MA 01960(978) 818-6350(978) 818-6355 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Sports Medicine North Orthopaedic Surgery, Inc. NPPES

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

SPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC. (NPI 1760423719) is a healthcare organization registered as a specialist in Peabody, Massachusetts and active in the NPI registry since June 2006. The organization lists Jeffrey A. Polansky, President, as its authorized official.

NPPES Registry Identity

NPI1760423719

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSPORTS MEDICINE NORTH ORTHOPAEDIC SURGERY, INC.

Location Address1 ORTHOPEDIC DR, 2ND FLOORPeabody, MA 01960-1668

Mailing Address1 Orthopedic Dr, 2nd FloorPeabody, MA 01960-1668 · (978) 818-6350 · Fax (978) 818-6355

Phone(978) 818-6350

Fax(978) 818-6355

Organization SubpartNo

Authorized OfficialJeffrey A. PolanskyPresident · (978) 818-6350

Enumeration DateJune 9, 2006

Last NPPES UpdateOctober 17, 2025

NPPES CertifiedOctober 17, 2025

✔ NPI 1760423719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1 ORTHOPEDIC DR, Peabody, MA 01960

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Other Identifiers 1

Medicaid9773363MA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sports Medicine North Orthopaedic Surgery, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 73 clinicians reassign Medicare billing to Sports Medicine North Orthopaedic Surgery, Inc., which bills Medicare for the services they deliver. Of these, 21 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Physical Therapist in Private Practice20

Orthopedic Surgery18

Diagnostic Radiology11

Occupational Therapist in Private Practice10

Hand Surgery4

Physical Medicine and Rehabilitation4

Interventional Pain Management2

Nurse Practitioner2

2 other specialties2

Nearest to this location (20)

See all 73

Kevin Bernard, M.D.

Physical Medicine and Rehabilitation

NPI 1902196926

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Lauren Dellacroce

Physical Therapist in Private Practice

NPI 1093579864

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ Accepts MedicareSame address

Emily Depiero, OT

Occupational Therapist in Private Practice

NPI 1952100190

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 535-1213

✔ Accepts MedicareSame address

Ira Evans, M.D.

Orthopedic Surgery

NPI 1821076522

1 ORTHOPEDIC DR 2ND FLOOR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

David Fehnel, M.D.

Orthopedic Surgery

NPI 1609854215

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Eric Fu, M.D.

Hand Surgery

NPI 1558598375

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

John Karbassi, M.D.

Orthopedic Surgery

NPI 1376740456

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Steven Mattheos, M.D.

Orthopedic Surgery

NPI 1619901386

1 ORTHOPEDICS DR 2ND FLOOR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Clay Miller, M.D.

Physical Medicine and Rehabilitation

NPI 1942288410

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Hugh O'flynn, M.D.

Orthopedic Surgery

NPI 1437258738

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

James Oholleran, M.D.

Orthopedic Surgery

NPI 1700864303

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Peter Prokopis, M.D.

Hand Surgery

NPI 1932153020

1 ORTHOPEDIC DR SECOND FLOOR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

William Rubenstein, M.D.

Orthopedic Surgery

NPI 1932630241

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Jeremy Shore, M.D.

Orthopedic Surgery

NPI 1598743197

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Christopher Telep, OTR/L, CHT

Occupational Therapist in Private Practice

NPI 1972681328

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6260

✔ Accepts MedicareSame address

Jonathan Uroskie, M.D.

Hand Surgery

NPI 1447238076

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Jason Wu, M.D.

Physical Medicine and Rehabilitation

NPI 1770884066

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Bojan Zoric, MD

Orthopedic Surgery

NPI 1306879093

1 ORTHOPEDICS DR 2ND FLOOR
Peabody, MA 01960

(978) 818-6350

✔ PECOS✔ Accepts MedicareSame address

Stephen Karshbaum, MD

Diagnostic Radiology

NPI 1124032271

1 ORTHOPEDIC DR
Peabody, MA 01960

(978) 818-6272

✔ PECOS✔ Accepts MedicareSame address

Gabriella Machado

Physical Therapist in Private Practice

NPI 1437010816

1 ORTHOPEDICS DR
Peabody, MA 01960

(978) 818-6350

✔ Accepts MedicareSame address

See all 73 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 Sports Medicine North Orthopaedic Surgery, Inc.'s NPI number?

The NPI number for Sports Medicine North Orthopaedic Surgery, Inc. is 1760423719. It was assigned to this organization in the NPPES registry on June 9, 2006.

Where is Sports Medicine North Orthopaedic Surgery, Inc. located?

Sports Medicine North Orthopaedic Surgery, Inc. is located at 1 Orthopedic Dr 2nd Floor, Peabody, MA 01960. The listed phone number is (978) 818-6350.

What is Sports Medicine North Orthopaedic Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Sports Medicine North Orthopaedic Surgery, Inc. enrolled in Medicare?

Yes. Sports Medicine North Orthopaedic Surgery, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sports Medicine North Orthopaedic Surgery, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 73 clinicians in 10 Medicare specialties reassign their Medicare billing to Sports Medicine North Orthopaedic Surgery, Inc.. 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 (20), Orthopedic Surgery (18) and Diagnostic Radiology (11). Of these, 21 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sports Medicine North Orthopaedic Surgery, Inc. was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.