TAHOE ORTHOPEDICS & SPORTS MEDICINE, INC.
NPI 1902131287
Orthopaedic Surgery in South Lake Tahoe, CA

Q: What is Tahoe Orthopedics & Sports Medicine, Inc.'s specialty?

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

Active since October 05, 2009

2170B SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5554(530) 541-3016 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2026, Jun 12, 2023, Dec 27, 2018 and 1 more (4 updates tracked since 2018).

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About Tahoe Orthopedics & Sports Medicine, Inc. NPPES

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

TAHOE ORTHOPEDICS & SPORTS MEDICINE, INC. (NPI 1902131287) is a healthcare organization registered as an orthopaedic surgery in South Lake Tahoe, California and active in the NPI registry since October 2009. The organization lists Kyle E Swanson, President, as its authorized official.

NPPES Registry Identity

NPI1902131287

Entity TypeOrganization

Primary Taxonomy207X00000X

Legal Business NameTAHOE ORTHOPEDICS & SPORTS MEDICINE, INC.

Location Address2170B SOUTH AVESouth Lake Tahoe, CA 96150-7026

Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 543-5659 · Fax (530) 541-8723

Phone(530) 543-5554

Fax(530) 541-3016

Organization SubpartNo

Authorized OfficialKyle E SwansonPresident · (530) 543-5554

Enumeration DateOctober 5, 2009

Last NPPES UpdateJuly 29, 20264 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1902131287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ 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.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Sports MedicineTaxonomy 2081S0010X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

2170B SOUTH AVE, South Lake Tahoe, CA 96150

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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)

Tahoe Orthopedics & Sports Medicine, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 19 clinicians reassign Medicare billing to Tahoe Orthopedics & Sports Medicine, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Orthopedic Surgery15

Physical Medicine and Rehabilitation2

Hand Surgery1

Psychiatry1

Clinicians, nearest first (19)

Zachary Child, MD

Orthopedic Surgery

NPI 1053450072

2170 SOUTH AVE
South Lake Tahoe, CA 96150

(530) 543-5554

✔ PECOS✔ Accepts MedicareSame address

Jeffrey Orr, MD

Orthopedic Surgery

NPI 1962792952

2170B SOUTH AVE
South Lake Tahoe, CA 96150

(530) 543-5554

✔ PECOS✔ Accepts MedicareSame address

Gregory Burkard, DO

Physical Medicine and Rehabilitation

NPI 1467890590

2170 SOUTH AVE
South Lake Tahoe, CA 96150

(530) 543-5554

✔ PECOS✔ Accepts Medicare0.1 mi

Tracy Protell, M.D.

Psychiatry

NPI 1629275235

155 HWY 50
Stateline, NV 89449

(775) 589-8946

✔ PECOS✔ Accepts Medicare5.1 mi

Robert Rupp, MD

Orthopedic Surgery

NPI 1558360628

165 HIGHWAY 50
Stateline, NV 89449

(775) 589-8950

✔ PECOS✔ Accepts Medicare5.2 mi

Jonathan Hagen, MD

Orthopedic Surgery

NPI 1487915153

212 ELKS POINT RD STE 200
Zephyr Cove, NV 89448

(775) 589-8950

✔ PECOS✔ Accepts Medicare5.9 mi

Michael Fry

Orthopedic Surgery

NPI 1922099530

973 MICA DRIVE SUITE 201
Carson City, NV 89705

(775) 783-6190

✔ PECOS✔ Accepts Medicare17 mi

Daniel Robertson, MD

Hand Surgery

NPI 1801895974

935 MICA DR SUITE 13
Carson City, NV 89705

(775) 783-3065

✔ PECOS✔ Accepts Medicare17 mi

Paul Ryan, MD

Orthopedic Surgery

NPI 1770555393

935 MICA DR
Carson City, NV 89705

(775) 783-3082

✔ PECOS✔ Accepts Medicare17 mi

Kyle Swanson, MD

Orthopedic Surgery

NPI 1538123492

935 MICA DR STE 13
Carson City, NV 89705

(775) 783-3065

✔ PECOS✔ Accepts Medicare17 mi

Alison Ganong, MD

Physical Medicine and Rehabilitation

NPI 1790965960

10121 PINE AVE
Truckee, CA 96161

(530) 587-7461

✔ PECOS✔ Accepts Medicare31 mi

Tyler Williamson, M.D.

Orthopedic Surgery

NPI 1225561939

85 SIERRA PARK RD
Mammoth Lakes, CA 93546

(760) 924-4084

✔ PECOS✔ Accepts Medicare104 mi

Tyson Christensen, M.D.

Orthopedic Surgery

NPI 1326454125

2300 E 30TH ST STE 101
Farmington, NM 87401

(505) 208-6280

✔ PECOS✔ Accepts Medicare663 mi

Matthew Fournier, MD

Orthopedic Surgery

NPI 1467849661

1909 VISTA DR
Laramie, WY 82070

(307) 745-1415

✔ PECOS✔ Accepts Medicare783 mi

Evan Corning, MD

Orthopedic Surgery

NPI 1720467707

4801 ALBERTA AVE
El Paso, TX 79905

(915) 215-5400

✔ PECOS✔ Accepts Medicare909 mi

William Bowlin, MD

Orthopedic Surgery

NPI 1982018503

2237 S JACKSON ST
San Angelo, TX 76904

(325) 747-2292

✔ PECOS✔ Accepts Medicare1,217 mi

Andrew Odland, MD

Orthopedic Surgery

NPI 1265794390

1316 S MAIN ST
Clarion, IA 50525

(515) 532-2811

✔ PECOS1,396 mi

David Hagan

Orthopedic Surgery

NPI 1992238257

555 E COUNTY LINE RD
Greenwood, IN 46143

(317) 497-2130

✔ PECOS✔ Accepts Medicare1,808 mi

Matthew Skinner

Orthopedic Surgery

NPI 1033672910

1720 SPRING HILL AVE STE 301
Mobile, AL 36604

(251) 435-2663

✔ PECOS✔ Accepts Medicare1,890 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 Tahoe Orthopedics & Sports Medicine, Inc.'s NPI number?

The NPI number for Tahoe Orthopedics & Sports Medicine, Inc. is 1902131287. It was assigned to this organization in the NPPES registry on October 5, 2009.

Where is Tahoe Orthopedics & Sports Medicine, Inc. located?

Tahoe Orthopedics & Sports Medicine, Inc. is located at 2170B South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5554.

What is Tahoe Orthopedics & Sports Medicine, Inc.'s specialty?

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

Is Tahoe Orthopedics & Sports Medicine, Inc. enrolled in Medicare?

Yes. Tahoe Orthopedics & Sports Medicine, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tahoe Orthopedics & Sports Medicine, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 4 Medicare specialties reassign their Medicare billing to Tahoe Orthopedics & Sports Medicine, 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 Orthopedic Surgery (15), Physical Medicine and Rehabilitation (2) and Hand Surgery (1). Of these, 2 practice at this address and 6 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 Tahoe Orthopedics & Sports Medicine, Inc. was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.