Kristopher Michael Williams, DO

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

02003293A Issued in IN

Practice address

225 S Pine St Ste 300
Seymour, IN 47274-2367

Phone

(812) 524-3311

Fax

(812) 524-3310

NPI assigned

Jun 12, 2007

Last updated

Dec 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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 1

Specialty

Orthopedic Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Schneck Memorial HospitalGroup PAC ID 8224004585, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schneck Medical Center Home Health Care Home health agency, Seymour, IN, CCN 157155
• Schneck Medical Center Hospital, Seymour, IN, CCN 150065
• Ascension St Vincent Salem Hospital, Salem, IN, CCN 151314
• Norton Scott Hospital Hospital, Scottsburg, IN, CCN 151334

Merit-based Incentive Payment System (MIPS)

Final score

93.97 of 100Reported as apm

Quality

85.1

Promoting interoperability

94.69

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • Anesthesiology Physician
  • Seymour, IN
  • NPI 1629143037
  Medicare reassignment Care Compare group NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Seymour Indiana Pathologists, Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Seymour, IN
  • NPI 1124237987
  NPD (past)

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

• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center Home Health Care

  • Home Health Agency
  • Seymour, IN
  • NPI 1164485553
  Care Compare affiliation
• Jackson County Schneck Memorial Hospital

  dba Schneck Medical Center

  • General Acute Care Hospital
  • Seymour, IN
  • NPI 1699738088
  Care Compare affiliation
• Norton Scott Hospital, LLC

  dba Norton Scott Hospital

  • Critical Access Hospital
  • Scottsburg, IN
  • NPI 1013251594
  Care Compare affiliation
• St Vincent Salem Hospital Inc

  • Critical Access Hospital
  • Salem, IN
  • NPI 1427388982
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1093919318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SOUTH PINE STREET,",
            "address_2": "SUITE 300",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "47274",
            "telephone_number": "812-524-3311",
            "fax_number": "812-524-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PINE ST STE 300",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742367",
            "telephone_number": "812-524-3311",
            "fax_number": "812-524-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "02003293A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200949310A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan White, LCSW
• Lynnette Caudill Wickliff, RN, MSN, FNP
• Jacob Dean Wiegand
• Makenze Taylor Wieneke, NP
• Richard Allen Wiethoff, MD
• Stephanie L. Williams, DO
• David S Wilson, MD
• Emily Marie Wilson, RBT
• Matthew C Wilson, D.O.
• Riley Jane Wilson, OD

• Orthopaedic Surgery Physician in Seymour, IN
• Providers in Seymour, IN by specialty
• Orthopaedic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.

Verify at the official NPI Registry.