PREMIER ORTHOPEDICS OF FORT WORTH, PA
NPI 1851652457
Orthopaedic Surgery - Sports Medicine in Fort Worth, TX
NPI Status: Active since May 31, 2012
Contact Information
6930 HARRIS PKWY STE 130
FORT WORTH, TX
ZIP 76132
Phone: (817) 632-0020
Fax: (817) 632-0022
- Organization
- Orthopaedic Surgery
- Sports Medicine
- Accepts Insurance
- CLIA Number: 45D2095625
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-07-2027
About PREMIER ORTHOPEDICS OF FORT WORTH, PA
This page provides the complete NPI Profile along with additional information for Premier Orthopedics Of Fort Worth, Pa, a provider established in Fort Worth, Texas operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1851652457 assigned on May 2012. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Kraig R Pepper Do Pa. The authorized official of this NPI record is Sonja Manning (Medical Office Support)
- NPI
- 1851652457
- Provider Legal Name
- PREMIER ORTHOPEDICS OF FORT WORTH, PA
- Other Organization Name
- KRAIG R PEPPER DO PA
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 6930 HARRIS PKWY STE 130 FORT WORTH, TX 76132
- Location Phone
- (817) 632-0020
- Location Fax
- (817) 632-0022
- Mailing Address
- 6930 HARRIS PARKWAY SUITE 130 FORT WORTH, TX 76132
- Mailing Phone
- (817) 632-0020
- Mailing Fax
- (817) 632-0022
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-31-2012
- Last Update Date
- 05-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Saver 750 - HMO
- Molina Gold Saver 750 Plus with Adult Dental and Vision - HMO
- Molina Gold Saver 750 Plus with Adult Vision - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
- Molina Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203808502 | MEDICAID (05) | TX | |
| 308841101 | MEDICAID (05) | TX |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2095625
- Facility Type
- Physician Office
- Certificate Effective Date
- May 08, 2025
- Certificate Expiration Date
- May 07, 2027
- Laboratory Director
- KRAIG R. PEPPER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Premier Orthopedics Of Fort Worth, Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1851652457, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FORT WORTH, TX 76132
FORT WORTH, TX 76132
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851652457, enumerated as an "organization" on May 31, 2012.
The provider is located at 6930 HARRIS PKWY STE 130 FORT WORTH, TX 76132 and the phone number is (817) 632-0020.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
