Active NPI
Callie Ann Jewett, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- ME167567
- Practice address
- 25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476 - Phone
- (407) 254-2500
- NPI assigned
- Apr 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 95755 | GA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ME167567 | FL | Primary |
Addresses
Primary practice location
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Mailing address
25 W Crystal Lake St Ste 200
Orlando, FL 32806-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Florida College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LPLegacy Healthcare Services Inc
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1300 Oviedo Mall Blvd
Oviedo, FL 32765-7418
Phone (407) 977-3500
25 W Crystal Lake St
Suite 200
Orlando, FL 32806-4476
Phone (407) 254-2500
2699 Lee Rd
Suite 100
Winter Park, FL 32789-1738
Phone (407) 897-1363
7015 Red Bug Lake Rd
Oviedo, FL 32765-5056
Phone (407) 542-4908
Hospital & facility affiliations
- Pinnacle Home Care
- Oviedo Medical Center
- Adventhealth Orlando
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.31 of 100
- Quality
- 88.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME167567 | FL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
| The Emory Clinic Inc | Current | Accepting new patients | |
| Orlando Orthopaedic Center MD PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
766 N Sun Dr
Ste 4000
Lake Mary, FL 32746
Phone (407) 834-1556
25 W Crystal Lake St
Ste 200
Orlando, FL 32806
Phone (407) 254-2500
2699 Lee Rd
Winter Park, FL 32789
2699 Lee Rd
Ste 100
Winter Park, FL 32789
Phone (407) 897-1363
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- AL HMO
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
Interoperability endpoints
- cjewett404945@direct.vumc.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1740252899
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1164154407
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Casselberry, FL
- NPI 1780116343
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Oviedo, FL
- NPI 1245785567
-
- Home Health Agency
- Orlando, FL
- NPI 1730647041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1003313776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 W CRYSTAL LAKE ST STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328064476",
"telephone_number": "407-254-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEWETT",
"first_name": "CALLIE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-10",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "95755",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "FL",
"license": "ME167567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.