Justin Leigh Cutler, D.O.
Individual provider Active NPI Orthopaedic Surgery Physician · Saint Louis, MO
NPI 1104055201 · NPPES record last updated Jul 9, 2009
Key facts
- NPI
- 1104055201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- 2009015210 (MO)
- Practice address
- 2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313 - Phone
- (314) 966-9491
- Fax
- (314) 966-9394
- NPI assigned
- Jul 9, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ozark Physical Therapy Inc.
Arkansas Orthopedics and Sports Medicine, P.a.
Practice addresses (Care Compare)
210 Rice St
Berryville, AR 72616-4388
Phone (870) 423-6789
224 W Erie Ave
Harrison, AR 72601-3539
Phone (870) 741-8289
Hospital & facility affiliations
- Home Health Agency of N Ar Regional Med Center
- Elite Home Health
- Centerwell Home Health
- North Arkansas Regional Medical Center
- Baxter Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 14 |
| Knee replacement | 30 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 26 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 67 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140917000216 | AR | Practitioner - Orthopedic Surgery | 4880868314 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009015210 | MO | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter County Regional Hospital, Inc | Current |
Accepting new patients | |
| Arkansas Orthopedics & Sports Medicine, P.a. | Orthopaedic Surgery | Current |
Accepting new patients |
Locations
100 Town Center Dr
#A
Harrison, AR 72601
Phone (870) 741-8289
224 W Erie Ave
Harrison, AR 72601
Phone (870) 414-4599
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2009015210 | MO | Yes |
Addresses
Primary practice location
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Mailing address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 966-9491
Other providers in Saint Louis, MO
- Michael Cook Cusumano
- Brian Michael Cusworth
- Sarah E Cusworth
- Grace Cutchin
- Brett Cutler
- Zach Cutler
- Conner Cutright
- Marion Cutright
- Joseph Peter Cutrona
- Cutting Edge Surgical Services, LLC
All providers in Saint Louis, MO · Orthopaedic Surgery Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.