Sports Medicine Center S C
NPI 1093729055 · Orthopaedic Surgery Physician · Appleton, WI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sports Medicine Center S C is a Orthopaedic Surgery Physician organization in Appleton, WI (NPI 1093729055).
Provider details
- NPI number
- 1093729055
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Etienne Mejia, Presdient(920) 993-1643
Specialties & taxonomies
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
Registry dates
- Enumerated
- 2006-07-27
- Last updated
- 2009-01-20
Frequently asked questions
- What is Sports Medicine Center S C's NPI number?
- Sports Medicine Center S C's National Provider Identifier (NPI) is 1093729055, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sports Medicine Center S C?
- Sports Medicine Center S C is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sports Medicine Center S C located?
- Sports Medicine Center S C's practice location on file with NPPES is 277 Altenhofen Dr, Appleton, WI 54913-8401.
- What is Sports Medicine Center S C's phone number?
- The practice phone number listed in the NPPES registry for Sports Medicine Center S C is (920) 993-1643.
- Does Sports Medicine Center S C accept Medicare?
- Sports Medicine Center S C 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 Sports Medicine Center S C?
- The authorized official listed on Sports Medicine Center S C's NPPES record is Etienne Mejia, Presdient. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sports Medicine Center S C's NPI active?
- Yes — Sports Medicine Center S C's NPI (1093729055) is active in the NPPES registry as of the last update on 2009-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.