SPARTAN ORTHOPAEDICS, LLC – Orthopaedic Surgery Physician, NPI 1972791978
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SPARTAN ORTHOPAEDICS, LLC
PO BOX 15580
BELFAST, ME 049154050
Phone: (662) 534-2227
Fax: (662) 534-2330
Type: Mailing
6518 Goodman Rd Ste 104
Olive Branch, MS 386549809
Phone: (662) 420-7350
Fax: (662) 932-3010
Type: Location
6515 Poplar Ave Ste 106
Memphis, TN 381194878
Phone: (901) 426-1090
Fax: (901) 426-1091
Type: Location
206, Oxford Road, New Albany, Union County, Mississippi, 38652, United States
NEW ALBANY, MS 38652
Phone: (662) 534-2227
Fax: (662) 534-2330
Type: Location
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.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-10-31 (220 days ago).
Enrollment records
3
Earliest due date
2025-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20080303000264 | O | Clinic/Group Practice | MS | TBD |
| O20100930097000 | O | Physician - Orthopedic/Orthopedic Surgery | MS | 2025-10-31 |
| O20160803001940 | O | Clinic/Group Practice | TN | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 04915)
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