Individual provider Active NPI

Callie Ann Jewett, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Orlando, FL
National Provider Identifier
1003313776
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME167567 Issued in FL
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

Updated by the provider on Aug 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230727001315 GA Practitioner - Orthopedic Surgery 4183085863 Reassigns benefits to 1 organization
I20240628001660 FL Practitioner - Orthopedic Surgery 4183085863 Reassigns benefits to 1 organization

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Orthopaedic Center MD PAGroup PAC ID 3678562840, 45 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

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 Home health agency, Orlando, FL, CCN 103127
  • Oviedo Medical Center Hospital, Oviedo, FL, CCN 100329
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

Merit-based Incentive Payment System (MIPS)

Final score
90.31 of 100Reported as group
Quality
88.59
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME167567FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery CurrentSince Aug 1, 2024 Accepting new patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery Current Accepting new patients
The Emory Clinic Inc CurrentSince Sep 18, 2023 Accepting new patients
Orlando Orthopaedic Center MD PA Orthopaedic Surgery CurrentSince Aug 1, 2024 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

  • Direct secure messaging: cjewett404945@direct.vumc.org
  • FHIR API: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.