Individual provider Active NPI

Karl Craig Boatright, MD

  • Orthopaedic Surgery Physician
  • Okatie, SC
National Provider Identifier
1346325149
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30979 Issued in SC
Practice address
40 Okatie Center Blvd S.
Suite 205 Bluffton-Okatie Outpatient Center
Okatie, SC 29909
Phone
(843) 705-8970
Fax
(843) 705-7034
NPI assigned
Oct 27, 2006
Last updated
May 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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 88473 NC
Orthopaedic Surgery Physician 207X00000X 30979 SC Primary

Addresses

Primary practice location

40 Okatie Center Blvd S.
Suite 205 Bluffton-Okatie Outpatient Center
Okatie, SC 29909

Mailing address

40 Okatie Center Blvd S.
Suite 205 Bluffton-Okatie Outpatient Center
Okatie, SC 29909
Phone (843) 705-8970

Other identifiers 6

IdentifierTypeStateIssuer
Q00363MedicaidSC
1264TOtherBCBS
200043757OtherRR MEDICARE
891264TMedicaidNC
B40644OtherMEDCOST
0956444OtherUHC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080728000766 SC Practitioner - Orthopedic Surgery 2163486697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Harvard Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffery M Reuben, MD PAGroup PAC ID 6103906326, 4 clinicians
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

40 Okatie Ctr Blvd
Suite 205
Okatie, SC 29909-7511
Phone 84337977462322

876 Fording Island Rd
Bluffton, SC 29910-8677
Phone (843) 507-8473

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion99
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
88473NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery M Reuben, MD PA Orthopaedic Surgery CurrentSince Aug 1, 2008 Accepting new patients
Jeffery M. Reuben, MD PA Orthopaedic Surgery CurrentSince Jul 28, 2008 Accepting new patients
Doctors Hoski and Moody PA Orthopaedic Surgery Past Accepting new patients

Locations

40 Okatie Center Blvd S
Okatie, SC 29909
Phone (843) 705-8804

40 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Ste 2003
Okatie, SC 29909
Phone (843) 705-8598

40 Okatie Center Blvd S
Ste 205
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Ste 350
Okatie, SC 29909
Phone (843) 705-8940

Interoperability endpoints

  • Direct secure messaging: karlboatright@rss.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1346325149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S.",
            "address_2": "SUITE 205 BLUFFTON-OKATIE OUTPATIENT CENTER",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-8970",
            "fax_number": "843-705-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S.",
            "address_2": "SUITE 205 BLUFFTON-OKATIE OUTPATIENT CENTER",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "29909",
            "telephone_number": "843-705-8970",
            "fax_number": "843-705-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "KARL",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "88473",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SC",
            "license": "30979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q00363",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1264T",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200043757",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891264T",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B40644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0956444",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.