417 Sports Medicine and Orthopedics LLC
NPI 1871105312 · Sports Medicine (Family Medicine) Physician · Springfield, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
417 Sports Medicine and Orthopedics LLC is a Sports Medicine (Family Medicine) Physician organization in Springfield, MO (NPI 1871105312).
Provider details
- NPI number
- 1871105312
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Eric Gifford, Physician(817) 825-5096
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
5 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
- 2020-08-17
- Last updated
- 2024-05-16
- Certified
- 2024-05-16
Frequently asked questions
- What is 417 Sports Medicine and Orthopedics LLC's NPI number?
- 417 Sports Medicine and Orthopedics LLC's National Provider Identifier (NPI) is 1871105312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 417 Sports Medicine and Orthopedics LLC?
- 417 Sports Medicine and Orthopedics LLC is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is 417 Sports Medicine and Orthopedics LLC located?
- 417 Sports Medicine and Orthopedics LLC's practice location on file with NPPES is 3328 S National Ave, Springfield, MO 65807-7305.
- What is 417 Sports Medicine and Orthopedics LLC's phone number?
- The practice phone number listed in the NPPES registry for 417 Sports Medicine and Orthopedics LLC is (417) 771-3147.
- Does 417 Sports Medicine and Orthopedics LLC accept Medicare?
- 417 Sports Medicine and Orthopedics 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 417 Sports Medicine and Orthopedics LLC?
- The authorized official listed on 417 Sports Medicine and Orthopedics LLC's NPPES record is Eric Gifford, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 417 Sports Medicine and Orthopedics LLC's NPI active?
- Yes — 417 Sports Medicine and Orthopedics LLC's NPI (1871105312) is active in the NPPES registry as of the last update on 2024-05-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.