Western Illinois Sports Medicine & Orthopedic Center – Orthopaedic Surgery Physician, NPI 1093083511

Western Illinois Sports Medicine & Orthopedic Center is a healthcare provider. based in Macomb, Illinois. specializing in Orthopaedic Surgery Physician. The organization holds a License No. 0001438 (IL). The NPI Number for Western Illinois Sports Medicine & Orthopedic Center is 1093083511

Main info

Organization
Name
Western Illinois Sports Medicine & Orthopedic Center
NPI
1093083511
Phone
(309) 833-4101
Address
503 E GRANT ST
Authorized Official
KENNY BOYD CEO
Enumeration Date
12 December 2011
Last Update Date
12 December 2011
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness80
Years active:14State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Western Illinois Sports Medicine & Orthopedic Center

  • 503 E GRANT ST

    MACOMB, IL 614553313

    Phone: (309) 833-4101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61455)

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Frequently asked questions

What is the 10-digit NPI for Western Illinois Sports Medicine & Orthopedic Center?
Western Illinois Sports Medicine & Orthopedic Center — NPI 1093083511 — is the standard way to identify this listing.
Is Western Illinois Sports Medicine & Orthopedic Center listed as active for patients and plans?
The listing shows Western Illinois Sports Medicine & Orthopedic Center as active in the NPI system.
What is Western Illinois Sports Medicine & Orthopedic Center's primary classification?
Orthopaedic Surgery Physician is the headline specialty for Western Illinois Sports Medicine & Orthopedic Center here. Clinical services aligned with this taxonomy classification.
Where is Western Illinois Sports Medicine & Orthopedic Center based?
Western Illinois Sports Medicine & Orthopedic Center is tied to Macomb, Illinois in the data we show; additional addresses may exist on the full record.
Why does Western Illinois Sports Medicine & Orthopedic Center have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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