Individual provider Active NPI

Michael Lee Dockery, MD

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1801870381
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
96-00518 Issued in NC
Practice address
9848 N Tryon St
Charlotte, NC 28262-5512
Phone
(704) 323-2000
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 96-00518 NC
Orthopaedic Surgery Physician 207X00000X 96-00518 NC Primary

Addresses

Primary practice location

9848 N Tryon St
Charlotte, NC 28262-5512

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209-3239
Phone (704) 323-2000

Other identifiers 1

IdentifierTypeStateIssuer
8928786MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050618000120 NC Practitioner - Orthopedic Surgery 3375587058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Florida College of Medicine, 1990
Medicare assignment
May accept Medicare assignment
Group practices
OrthocarolinaGroup PAC ID 2062316821, 288 clinicians
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Practice addresses (Care Compare)

10315 Hamptons Park Dr
Huntersville, NC 28078-7217
Phone (704) 323-2800

1915 Randolph Rd
Charlotte, NC 28207-1101
Phone (704) 323-2282

2001 Randolph Rd
Charlotte, NC 28207-1215
Phone (704) 332-2225

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

710 Park Ctr Dr
Matthews, NC 28105-5081
Phone (704) 323-3200

9848 N Tryon St
Charlotte, NC 28262-5512
Phone (704) 323-2100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00518NCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina, PA Orthopaedic Surgery CurrentSince Jan 18, 2005 Accepting new patients
Orthocarolina Orthopaedic Surgery CurrentSince Jan 18, 2005 Accepting new patients
Orthocarolina Orthopaedic Surgery Current Accepting new patients

Locations

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

101 E Wt Harris Blvd
Ste 5001
Charlotte, NC 28262
Phone (704) 547-7319

1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544

16455 Statesville Rd
Ste 102
Huntersville, NC 28078
Phone (704) 323-2809

1450 Matthews Township Pkwy
Ste 150
Matthews, NC 28105
Phone (704) 384-6638

Organizations & group practices 4

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 5

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282780800000",
    "number": "1801870381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093239",
            "telephone_number": "704-323-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9848 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625512",
            "telephone_number": "704-323-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCKERY",
        "first_name": "MICHAEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "96-00518",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "96-00518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8928786",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.