Premiere Spine and Sports Medicine LLC
NPI 1245760875 · Physical Medicine & Rehabilitation Physician · Hagerstown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premiere Spine and Sports Medicine LLC is a Physical Medicine & Rehabilitation Physician organization in Hagerstown, MD (NPI 1245760875).
Provider details
- NPI number
- 1245760875
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Clark, Owner/Physician(252) 295-8685
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
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1165 Imperial DrHagerstown, MD 21740-6555Phone: (301) 800-7770Fax: (301) 800-7891
Registry dates
- Enumerated
- 2017-06-15
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Premiere Spine and Sports Medicine LLC's NPI number?
- Premiere Spine and Sports Medicine LLC's National Provider Identifier (NPI) is 1245760875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premiere Spine and Sports Medicine LLC?
- Premiere Spine and Sports Medicine LLC is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Premiere Spine and Sports Medicine LLC located?
- Premiere Spine and Sports Medicine LLC's practice location on file with NPPES is 13114 Pennsylvania Ave, Hagerstown, MD 21742-2741.
- What is Premiere Spine and Sports Medicine LLC's phone number?
- The practice phone number listed in the NPPES registry for Premiere Spine and Sports Medicine LLC is (301) 800-7770.
- Does Premiere Spine and Sports Medicine LLC accept Medicare?
- Premiere Spine and Sports Medicine 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 Premiere Spine and Sports Medicine LLC?
- The authorized official listed on Premiere Spine and Sports Medicine LLC's NPPES record is Christopher Clark, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premiere Spine and Sports Medicine LLC's NPI active?
- Yes — Premiere Spine and Sports Medicine LLC's NPI (1245760875) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.