PREMIER ORTHOPEDICS OF FORT WORTH, PA
NPI 1851652457
Orthopaedic Surgery - Sports Medicine in Fort Worth, TX

Q: What is Premier Orthopedics Of Fort Worth, PA's specialty?

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

Active since May 31, 2012CLIA 45D2095625 · Waiver

6930 HARRIS PKWY STE 130, FORT WORTH, TX 76132(817) 632-0020(817) 632-0022 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Premier Orthopedics Of Fort Worth, Pa NPPES

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

PREMIER ORTHOPEDICS OF FORT WORTH, PA (NPI 1851652457), doing business as Kraig R Pepper Do Pa, is a healthcare organization registered as a sports medicine in Fort Worth, Texas and active in the NPI registry since May 2012. The organization holds a CLIA Waiver certificate valid through May 7, 2027 and lists Sonja Manning, Medical Office Support, as its authorized official.

NPPES Registry Identity

NPI1851652457

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NamePREMIER ORTHOPEDICS OF FORT WORTH, PA

Location Address6930 HARRIS PKWY STE 130Fort Worth, TX 76132-4272

Mailing Address6930 Harris Parkway, Suite 130Fort Worth, TX 76132 · (817) 632-0020 · Fax (817) 632-0022

Phone(817) 632-0020

Fax(817) 632-0022

Organization SubpartNo

Authorized OfficialSonja ManningMedical Office Support · (817) 632-0020

Enumeration DateMay 31, 2012

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1851652457 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.

6930 HARRIS PKWY STE 130, Fort Worth, TX 76132

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Other Names 2

Former Legal Business NameKraig R Pepper Do Pa

Former Legal Business NameKraig R. Pepper, D.o., P.a.

Other Identifiers 2

Medicaid203808502TX

Medicaid308841101TX

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 Molina Healthcare.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)

Premier Orthopedics Of Fort Worth, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Orthopedics Of Fort Worth, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kraig Pepper, DO PA

Orthopedic Surgery

NPI 1568444107

6930 HARRIS PKWY STE 130
Fort Worth, TX 76132

(817) 632-0020

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2095625

Premier Orthopedics · Fort Worth, TX

Active · expires May 7, 2027

CLIA Number45D2095625

Laboratory TypePhysician Office

Certificate Effective DateMay 8, 2025

Certificate Expiration DateMay 7, 2027

Laboratory DirectorKraig R. Pepper

Laboratory Phone(817) 632-0020

Laboratory LocationPremier Orthopedics6930 Harris Pkwy Suite 130, Fort Worth, TX 76132

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Premier Orthopedics Of Fort Worth, PA's NPI number?

The NPI number for Premier Orthopedics Of Fort Worth, PA is 1851652457. It was assigned to this organization in the NPPES registry on May 31, 2012. The provider was formerly known as Kraig R Pepper Do PA and Kraig R. Pepper, D.O., P.A..

Where is Premier Orthopedics Of Fort Worth, PA located?

Premier Orthopedics Of Fort Worth, PA is located at 6930 Harris Pkwy Ste 130, Fort Worth, TX 76132. The listed phone number is (817) 632-0020.

What is Premier Orthopedics Of Fort Worth, PA's specialty?

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

Is Premier Orthopedics Of Fort Worth, PA enrolled in Medicare?

Yes. Premier Orthopedics Of Fort Worth, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Orthopedics Of Fort Worth, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Premier Orthopedics Of Fort Worth, PA. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premier Orthopedics Of Fort Worth, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2095625) is associated with this NPI, valid through May 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premier Orthopedics Of Fort Worth, PA accept?

Health plans from Molina Healthcare list Premier Orthopedics Of Fort Worth, PA 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 Premier Orthopedics Of Fort Worth, PA was last updated on May 28, 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.