ORTHO PLUS, LLC
NPI 1962861625
Orthopaedic Surgery - Sports Medicine in Edmond, OK

Active since February 23, 2016
941 W I 35 FRONTAGE RD STE 164, EDMOND, OK 73034(405) 285-2994(405) 216-3743 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 9, 2024, Apr 25, 2024, Oct 24, 2018 and 3 more (6 updates tracked since 2016).

About Ortho Plus, Llc NPPES

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

ORTHO PLUS, LLC (NPI 1962861625) is a healthcare organization registered as a sports medicine in Edmond, Oklahoma and active in the NPI registry since February 2016. The organization lists Brent Keith Holliman, Auth Official, as its authorized official.

NPPES Registry Identity

NPI1962861625
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameORTHO PLUS, LLC
Location Address941 W I 35 FRONTAGE RD STE 164Edmond, OK 73034-7375
Mailing Address301 Lilac Dr Ste 140Edmond, OK 73034-7288
Fax(405) 216-3743
Organization SubpartNo
Authorized OfficialBrent Keith HollimanAuth Official · (405) 285-2994
Enumeration DateFebruary 23, 2016
Last NPPES UpdateAugust 9, 20246 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1962861625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X
941 W I 35 FRONTAGE RD STE 164, Edmond, OK 73034

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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ortho Plus, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20161011001422DME · Multi-Specialty - PhysicianDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Ortho Plus, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Medicine and Rehabilitation
NPI 1760646392
941 W I 35 FRONTAGE RD STE 164
Edmond, OK 73034
(405) 285-2994
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1588699136
3414 S BROADWAY
Edmond, OK 73013
(405) 216-9100
✔ PECOS✔ Accepts Medicare7.7 mi
Sports Medicine
NPI 1164496238
3110 SW 89TH ST SUITE 200C
Oklahoma City, OK 73159
(405) 759-2663
✔ PECOS✔ Accepts Medicare25 mi
Physical Therapist in Private Practice
NPI 1609868405
2234 W HOUSTON ST STE B
Broken Arrow, OK 74012
(918) 259-1888
✔ Accepts Medicare95 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 Ortho Plus, LLC's NPI number?

The NPI number for Ortho Plus, LLC is 1962861625. It was assigned to this organization in the NPPES registry on February 23, 2016.

Where is Ortho Plus, LLC located?

Ortho Plus, LLC is located at 941 W I 35 Frontage Rd Ste 164, Edmond, OK 73034. The listed phone number is (405) 285-2994.

What is Ortho Plus, LLC's specialty?

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

Is Ortho Plus, LLC enrolled in Medicare?

Yes. Ortho Plus, LLC is registered in the Medicare PECOS enrollment system.

When is Ortho Plus, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Oklahoma, Multi-Specialty - Physician) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Ortho Plus, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Ortho Plus, LLC, in Diagnostic Radiology, Physical Medicine and Rehabilitation, Physical Therapist in Private Practice and Sports Medicine. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ortho Plus, LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Ortho Plus, LLC 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 Ortho Plus, LLC was last updated on August 9, 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.