ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
NPI 1982637658
Orthopaedic Surgery in Alton, IL

Active since July 08, 2006
4411 ALBY ST, ALTON, IL 62002(618) 474-8052(618) 474-8054 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Orthopedic & Sports Medicine Clinic, P.c. NPPES

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

ORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C. (NPI 1982637658) is a healthcare organization registered as an orthopaedic surgery in Alton, Illinois and active in the NPI registry since July 2006. The organization lists Bruce T Vest, President, as its authorized official.

NPPES Registry Identity

NPI1982637658
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPEDIC & SPORTS MEDICINE CLINIC, P.C.
Location Address4411 ALBY STAlton, IL 62002-5916
Mailing Address4411 Alby StAlton, IL 62002-5916 · (618) 474-8052 · Fax (618) 474-8054
Fax(618) 474-8054
Organization SubpartNo
Authorized OfficialBruce T VestPresident · (618) 474-8052
Enumeration DateJuly 8, 2006
Last NPPES UpdateMarch 11, 2010
✔ NPI 1982637658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036074778
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.
4411 ALBY ST, Alton, IL 62002

Other Identifiers 4

Medicare PIN000014648MO
Medicaid036074778IL
Medicare UPINE80210IL
Medicare NSC0325090001IL

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted 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)

Orthopedic & Sports Medicine Clinic, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Orthopedic & Sports Medicine Clinic, P.C., 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 (2)

Orthopedic Surgery
NPI 1710910583
4411 ALBY ST
Alton, IL 62002
(618) 474-8052
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1437115045
935 EAST AIRLINE DR
East Alton, IL 62024
(618) 258-9093
6.6 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 Orthopedic & Sports Medicine Clinic, P.C.'s NPI number?

The NPI number for Orthopedic & Sports Medicine Clinic, P.C. is 1982637658. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Orthopedic & Sports Medicine Clinic, P.C. located?

Orthopedic & Sports Medicine Clinic, P.C. is located at 4411 Alby St, Alton, IL 62002. The listed phone number is (618) 474-8052.

What is Orthopedic & Sports Medicine Clinic, P.C.'s specialty?

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

Is Orthopedic & Sports Medicine Clinic, P.C. enrolled in Medicare?

Yes. Orthopedic & Sports Medicine Clinic, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Orthopedic & Sports Medicine Clinic, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Orthopedic & Sports Medicine Clinic, P.C., in Orthopedic Surgery and Physical Therapist in Private Practice. 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 Orthopedic & Sports Medicine Clinic, P.C. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Orthopedic & Sports Medicine Clinic, P.C. 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 Orthopedic & Sports Medicine Clinic, P.C. was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.