NPIMap

Individual provider Active NPI

Patrick W. Lett, M.D.

  • Orthopaedic Surgery Physician
  • Enterprise, AL
National Provider Identifier
1083615124
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25206 Issued in AL
Practice address
404 N Main St
Enterprise, AL 36330-2563
Phone
(334) 308-9797
Fax
(334) 308-2909
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25206 AL Primary

Addresses

Primary practice location

404 N Main St
Enterprise, AL 36330-2563

Mailing address

PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663

Other identifiers 4

IdentifierTypeStateIssuer
515-21927OtherALBCBS OF AL 404 N MAIN ST
003129579AMedicaidGA
009957045MedicaidAL
511-30528OtherALBCBS OF AL - HEALTHWEST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001439 AL Practitioner - Orthopedic Surgery 3173508074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S.B.J.S. PCGroup PAC ID 8527043421, 39 clinicians

Practice addresses (Care Compare)

512 E Three Notch St
Andalusia, AL 36420-3128
Phone (334) 308-9797

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Enterprise, AL, CCN 017013
  • Centerwell Home Health Home health agency, Andalusia, AL, CCN 017121
  • Enhabit Home Health Home health agency, Dothan, AL, CCN 017053
  • LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
  • Southeast Alabama Homecare Home health agency, Enterprise, AL, CCN 017016
  • Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25206ALMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBJS PC Orthopaedic Surgery CurrentSince Apr 1, 2019 Accepting new patients
S.B.J.S. PC Orthopaedic Surgery CurrentSince Aug 1, 2004 Accepting new patients
Ambulatory Management LLC PastSince Jul 31, 2023 Accepting new patients
S.B.J.S. PC Orthopaedic Surgery Past Accepting new patients

Locations

512 E Three Notch St
Andalusia, AL 36420
Phone (334) 222-2102

1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663

404 N Main St
Enterprise, AL 36330
Phone (334) 308-9797

Interoperability endpoints

  • Direct secure messaging: patrick.lett.1@15455.direct.athenahealth.com

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 9

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1083615124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363020729",
            "telephone_number": "334-793-2663",
            "fax_number": "334-836-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302563",
            "telephone_number": "334-308-9797",
            "fax_number": "334-308-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "PATRICK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "25206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL  404 N MAIN ST",
            "identifier": "515-21927",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129579A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009957045",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL - HEALTHWEST",
            "identifier": "511-30528",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.