Individual provider Active NPI

Paul Matthew Balthrop, M.D.

  • Orthopaedic Surgery Physician
  • Savannah, GA
National Provider Identifier
1104044700
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
070040 Issued in GA
Practice address
4750 Waters Ave Ste 202
Savannah, GA 31404
Phone
(912) 350-7412
Fax
(912) 350-7297
NPI assigned
Apr 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 070040 GA Primary
Orthopaedic Surgery Physician 207X00000X ME111853 FL

Addresses

Primary practice location

4750 Waters Ave Ste 202
Savannah, GA 31404

Mailing address

4750 Waters Ave Ste 202
Savannah, GA 31404-6278
Phone (912) 350-7412

Other identifiers 4

IdentifierTypeStateIssuer
P01198989OtherGARAILROAD MEDICARE
GA1467MedicaidSC
004947200MedicaidFL
003135073AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20130716000239 GA Practitioner - Orthopedic Surgery 5092970392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLC 143 clinicians
Savannah Multispecialty Associates LLC 129 clinicians

Practice addresses (Care Compare)

123 Canal St
Pooler, GA 31322-4104
Phone (912) 988-1283

4750 Waters Ave
Suite 202
Savannah, GA 31404-6278
Phone (912) 350-7020

Hospital & facility affiliations

  • Savannah Health Services LLC Dba Memorial Health University Medical Center Hospital, Savannah, GA, CCN 110036
  • Novant Health Hilton Head Medical Center Hospital, Hilton Head Island, SC, CCN 420080
  • Coastal Carolina Hospital Hospital, Hardeeville, SC, CCN 420101

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
070040GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. Current Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4750 Waters Ave
Ste 202
Savannah, GA 31404
Phone 9123505970 ext. 5994

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 5

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 3

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": "1177200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1104044700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046278",
            "telephone_number": "912-350-7412",
            "fax_number": "912-350-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 WATERS AVE STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-7412",
            "fax_number": "912-350-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTHROP",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-22",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "070040",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME111853",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01198989",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GA1467",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004947200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003135073A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.