Orthopedic and Sports Enhancement Center, LLC
NPI 1003900820 · Specialist · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Orthopedic and Sports Enhancement Center, LLC is a Specialist organization in Bloomington, IL (NPI 1003900820).
Provider details
- NPI number
- 1003900820
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- J. Anthony Dustman, President(309) 663-9300
Specialties & taxonomies
Other Service Providers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Sports Enhancement Center, LLC
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2017-09-12
Frequently asked questions
- What is Orthopedic and Sports Enhancement Center, LLC's NPI number?
- Orthopedic and Sports Enhancement Center, LLC's National Provider Identifier (NPI) is 1003900820, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Orthopedic and Sports Enhancement Center, LLC?
- Orthopedic and Sports Enhancement Center, LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Orthopedic and Sports Enhancement Center, LLC located?
- Orthopedic and Sports Enhancement Center, LLC's practice location on file with NPPES is 2406 E Empire St, Bloomington, IL 61704-3630.
- What is Orthopedic and Sports Enhancement Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Orthopedic and Sports Enhancement Center, LLC is (309) 663-9300.
- Does Orthopedic and Sports Enhancement Center, LLC accept Medicare?
- Orthopedic and Sports Enhancement Center, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Orthopedic and Sports Enhancement Center, LLC?
- The authorized official listed on Orthopedic and Sports Enhancement Center, LLC's NPPES record is J. Anthony Dustman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Orthopedic and Sports Enhancement Center, LLC's NPI active?
- Yes — Orthopedic and Sports Enhancement Center, LLC's NPI (1003900820) is active in the NPPES registry as of the last update on 2017-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.