Active NPI
Paul Matthew Balthrop, M.D.
- Orthopaedic Surgery Physician
- Savannah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 070040
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01198989 | Other | GA | RAILROAD MEDICARE |
| GA1467 | Medicaid | SC | |
| 004947200 | Medicaid | FL | |
| 003135073A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLCSavannah Multispecialty Associates LLC
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
- Novant Health Hilton Head Medical Center
- Coastal Carolina Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| 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 |
|---|---|---|---|
| 070040 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MPPG, Inc. | Current | Accepting new patients | |
| Savannah Multispecialty Associates, LLC | Current | 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.
-
- Rehabilitation Clinic/Center
- Pooler, GA
- NPI 1124541685
-
- Rehabilitation Clinic/Center
- Kingsland, GA
- NPI 1780264994
-
- Rehabilitation Clinic/Center
- Jesup, GA
- NPI 1831782887
-
- Family Medicine Physician
- Savannah, GA
- NPI 1033131172
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
Hospital
-
- General Acute Care Hospital
- Hardeeville, SC
- NPI 1205605409
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.