Individual provider Active NPI

Chad S. Altmyer, MD

  • Orthopaedic Surgery Physician
  • Tupelo, MS
National Provider Identifier
1952494718
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
16802 Issued in MS
Practice address
1211 S Gloster St
Tupelo, MS 38801-6546
Phone
(662) 767-4200
Fax
(662) 767-4201
NPI assigned
Oct 2, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 16802 MS Primary

Addresses

Primary practice location

1211 S Gloster St
Tupelo, MS 38801-6546

Mailing address

1211 S Gloster St
Tupelo, MS 38801-6546
Phone (662) 767-4200

Other practice location 1

670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012

Other practice location 2

521 S Montgomery St Ste 3
Starkville, MS 39759-3337
Phone (662) 767-4200

Other identifiers 1

IdentifierTypeStateIssuer
09259057MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20110217000334 MS Practitioner - Orthopedic Surgery 3274518790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

521 S Montgomery St
Suite 3
Starkville, MS 39759-3337
Phone (662) 767-4200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement18
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16802MSMDOrthopaedic Surgery Physician
37355TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Specialty Orthopedic Group of Ms, PLLC Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery Current Accepting new patients
Specialty Orthopedic Group of Mississippi PLLC Orthopaedic Surgery CurrentSince Jan 1, 2023 Accepting new patients
Campbell Clinic, PC Orthopaedic Surgery Past Accepting new patients
CC Bpci PLC Orthopaedic Surgery Past Accepting new patients

Locations

118 Highway 12 W
Starkville, MS 39759
Phone (662) 324-8070

118 Highway 12 W
Ste C
Starkville, MS 39759
Phone 66276742001057

521 S Montgomery St
Starkville, MS 39759
Phone (662) 338-4826

521 S Montgomery St
#3
Starkville, MS 39759
Phone (662) 546-4400

1211 S Gloster St
Ste A
Tupelo, MS 38801
Phone (662) 377-3380

Interoperability endpoints

  • Direct secure messaging: chadaltmyer@nmhs.medalliesdirect.net

Organizations & group practices 6

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 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1952494718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016546",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016546",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Leigh Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397053014",
            "country_code": "US",
            "telephone_number": "662-328-1012",
            "fax_number": "662-328-1507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 S Montgomery St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397593337",
            "country_code": "US",
            "telephone_number": "662-767-4200",
            "fax_number": "662-767-4201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALTMYER",
        "first_name": "CHAD",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "16802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09259057",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.