Elite Orthopedic Surgery and Sports Medicine
NPI 1710644463 · Sports Medicine (Orthopaedic Surgery) Physician · Orem, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elite Orthopedic Surgery and Sports Medicine is a Sports Medicine (Orthopaedic Surgery) Physician organization in Orem, UT (NPI 1710644463).
Provider details
- NPI number
- 1710644463
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Poulsen, Owner(801) 252-4888
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
4 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
- 2021-11-17
- Last updated
- 2021-11-17
- Certified
- 2021-11-17
Frequently asked questions
- What is Elite Orthopedic Surgery and Sports Medicine's NPI number?
- Elite Orthopedic Surgery and Sports Medicine's National Provider Identifier (NPI) is 1710644463, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Elite Orthopedic Surgery and Sports Medicine?
- Elite Orthopedic Surgery and Sports Medicine is classified in the NPPES registry as Sports Medicine (Orthopaedic Surgery) Physician (Allopathic & Osteopathic Physicians).
- Where is Elite Orthopedic Surgery and Sports Medicine located?
- Elite Orthopedic Surgery and Sports Medicine's practice location on file with NPPES is 980 E 800 N Ste 104, Orem, UT 84097-4261.
- What is Elite Orthopedic Surgery and Sports Medicine's phone number?
- The practice phone number listed in the NPPES registry for Elite Orthopedic Surgery and Sports Medicine is (801) 252-4888.
- Does Elite Orthopedic Surgery and Sports Medicine accept Medicare?
- Elite Orthopedic Surgery and Sports Medicine 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 Elite Orthopedic Surgery and Sports Medicine?
- The authorized official listed on Elite Orthopedic Surgery and Sports Medicine's NPPES record is Matthew Poulsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Elite Orthopedic Surgery and Sports Medicine's NPI active?
- Yes — Elite Orthopedic Surgery and Sports Medicine's NPI (1710644463) is active in the NPPES registry as of the last update on 2021-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.