Patrick Lee Wupperman, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

M4666 Issued in TX

Practice address

8101 S Broadway Ave
Suite 200
Tyler, TX 75703-5469

Phone

(903) 939-7500

Fax

(903) 939-7728

NPI assigned

Aug 23, 2006

Last updated

Oct 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Orthopedic Surgery

Education

Texas Tech University Health Science Center School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortholonestar PLLCGroup PAC ID 9931529062, 416 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Tyler, TX, CCN 459457
• Baylor Scott & White Texas Spine & Joint Hospital Hospital, Tyler, TX, CCN 450864
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
• Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
• Nacogdoches Medical Center Hospital, Nacogdoches, TX, CCN 450656
• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as individual

Promoting interoperability

98

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pwupperman355914@ahs.direct-ci.com

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.

• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Houston, TX
  • NPI 1942860176
  Medicare reassignment Care Compare group NPD
• Ortholonestar, PLLC

  • Orthopaedic Surgery Physician
  • Tomball, TX
  • NPI 1073475679
  NPD
• Alabama Sports Medicine and Ortho Center

  • Orthopaedic Surgery Physician
  • Bham, AZ
  • NPI 1487629101
  NPD (past)
• Andrews Sports Medicine and Orthopaedic Center

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Birmingham, AL
  • NPI 1679617526
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Tyler, TX
  • NPI 1588644934
  Care Compare affiliation
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Medical Center

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Rehabilitation Hospital

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation
• Rehabilitation Hospital, LLC

  • Rehabilitation Hospital
  • Tyler, TX
  • NPI 1174021695

  Inpatient rehabilitation facility

  Care Compare affiliation
• Texas Spine and Joint Hospital, LLC

  dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1942292255
  Care Compare affiliation
• TH Healthcare, LTD

  dba Nacogdoches Medical Center

  • General Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1700885076
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1538276001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130189",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757130189",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 S BROADWAY AVE",
            "address_2": "SUITE 200",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035469",
            "telephone_number": "903-939-7500",
            "fax_number": "903-939-7728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3414 Golden Rd",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757018336",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "fax_number": "800-248-0426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2211 S Loop 256",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758014701",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3816 N University Dr",
            "address_purpose": "LOCATION",
            "city": "Nacogdoches",
            "state": "TX",
            "postal_code": "759652011",
            "country_code": "US",
            "telephone_number": "903-939-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUPPERMAN",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M4666",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "M4666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183593601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Wright
• Victoria Wright
• Wthfb Tyler.LLC
• Diana Wu, MD
• Laura Juichen Wu, M.D.
• Leslie Ranger Wyatt, RN
• Uvonna L Wyatt
• Drew Hawley Wyrick, MD
• Fiona Marilyn Wyse, RN
• Arunditi Xantus, M.D.

• Orthopaedic Surgery Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.