NPIMap

Individual provider Active NPI

William Lighthart, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Jackson, WY
National Provider Identifier
1427004647
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
036115858 Issued in IL
Practice address
555 E Broadway Ave
Jackson, WY 83001-8640
Phone
(307) 733-3900
Fax
(307) 732-0925
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 036115858 IL Primary

Addresses

Primary practice location

555 E Broadway Ave
Jackson, WY 83001-8640

Mailing address

PO Box 10490
Jackson, WY 83002-0490
Phone (307) 733-3900

Other practice location 1

3 Albert Cree Dr
Rutland, VT 05701-4601
Phone (802) 775-2937

Other identifiers 2

IdentifierTypeStateIssuer
1336221712OtherWY830322741
83-0322741OtherWY1336221712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305001075 WY Practitioner - Orthopedic Surgery 0547271629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York at Buffalo School of Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Riverview Physical Therapy Limited PartnershipGroup PAC ID 2769393586, shared by 2 NPIs, 58 clinicians
Orthopaedics of Jackson Hole PCGroup PAC ID 9436042322, 14 clinicians

Practice addresses (Care Compare)

50 Forest Falls Dr
Yarmouth, ME 04096-6937

555 E Broadway Ave
Jackson, WY 83001-8640
Phone (307) 733-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement91
Knee replacement108
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics of Jackson Hole PC CurrentSince Feb 1, 2021 Accepting new patients
Midwest Orthopaedics at Rush, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.lighthart.p1@direct.tetonortho.nextgenshare.com
  • Direct secure messaging: wlighthart@tetonortho.emadirect.md

Organizations & group practices 2

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 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1427004647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10490",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830020490",
            "telephone_number": "307-733-3900",
            "fax_number": "307-732-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E BROADWAY AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018640",
            "telephone_number": "307-733-3900",
            "fax_number": "307-732-0925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Albert Cree Dr",
            "address_purpose": "LOCATION",
            "city": "Rutland",
            "state": "VT",
            "postal_code": "057014601",
            "country_code": "US",
            "telephone_number": "802-775-2937",
            "fax_number": "802-773-2204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHTHART",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "IL",
            "license": "036115858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "830322741",
            "identifier": "1336221712",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1336221712",
            "identifier": "83-0322741",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.