Active NPI
Nathan George Wetters, M.D.
- Orthopaedic Surgery Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 2017-00712
- Practice address
- 1915 Randolph Rd
Charlotte, NC 28207-1101 - Phone
- (704) 323-2000
- NPI assigned
- May 15, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 2017-00712 | NC | Primary |
Addresses
Primary practice location
1915 Randolph Rd
Charlotte, NC 28207-1101
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467711168 | Medicaid | NC | |
| 2017-00712 | Other | NC | MEDICAL LICENSE |
| NC2954 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2923 N California Ave
Suite 300
Chicago, IL 60618-4677
Phone (773) 777-9900
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
- Presence Saint Joseph Hospital - Chicago
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Orthopaedic Surgery | Current | Accepting new patients |
| Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
331 W Surf St
Ste 6400
Chicago, IL 60657
Phone (773) 433-3130
2923 N California Ave
#300
Chicago, IL 60618
Phone (773) 777-9900
2923 N California Ave
Ste 300
Chicago, IL 60618
Phone (773) 777-9900
5057 Paysphere Cir
Chicago, IL 60674
2845 N Sheridan Rd
Ste 6400
Chicago, IL 60657
Phone (312) 332-2226
900 Rand Rd
Ste 300
Des Plaines, IL 60016
Phone (847) 324-3090
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
Orthopaedic Surgery
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1679659585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467711168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071101",
"telephone_number": "704-323-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETTERS",
"first_name": "NATHAN",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "2017-00712",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1467711168",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "2017-00712",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2954",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.