Individual provider Active NPI

Tyler P Welch, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Portsmouth, NH
National Provider Identifier
1962663237
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
17245 Issued in NH
Practice address
1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone
(603) 431-1121
Fax
(603) 431-9147
NPI assigned
Jun 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 17245 NH Primary

Addresses

Primary practice location

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679

Mailing address

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150916002895 ME Practitioner - Orthopedic Surgery 5395977227 Reassigns benefits to 1 organization
I20151027002382 NH Practitioner - Orthopedic Surgery 5395977227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Connecticut School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmedicine Atlantic Orthopaedics PAGroup PAC ID 4587561196, 28 clinicians

Practice addresses (Care Compare)

15 Durham Rd
Suite 108
Dover, NH 03820-4380
Phone (603) 431-1121

16 Hospital Dr
Suite B
York, ME 03909-1041
Phone (207) 363-3490

1900 Lafayette Rd
Suite a
Portsmouth, NH 03801-5679
Phone (603) 431-1121

Hospital & facility affiliations

  • Interim Healthcare Home health agency, Manchester, NH, CCN 307049
  • York Hospital Home Care Home health agency, York, ME, CCN 207070
  • York Hospital Hospital, York, ME, CCN 200020
  • Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement28
Lower limb (leg) arthroscopy (minimally invasive joint repair)55
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131725CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmedicine Atlantic Orthopaedics PA Sports Medicine CurrentSince Sep 1, 2015 Accepting new patients
Sportsmedicine Atlantic Orthopaedics PA Sports Medicine CurrentSince Sep 1, 2015 Accepting new patients

Locations

16 Hospital Dr
Ste B
York, ME 03909
Phone (207) 351-8117

15 Durham Rd
Ste 108
Dover, NH 03820
Phone (603) 431-1121

1900 Lafayette Rd
Ste A
Portsmouth, NH 03801
Phone (603) 431-1121

Interoperability endpoints

  • Direct secure messaging: twelch@smao.emadirect.md
  • Direct secure messaging: twelch@direct.smao.org

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 4

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1962663237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAFAYETTE RD",
            "address_2": "SUITE A",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015679",
            "telephone_number": "603-431-1121",
            "fax_number": "603-431-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "TYLER",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NH",
            "license": "17245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.