BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD — NPI 1952183428 (Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) in GENEVA, OH)

CMS-1500 Box 24J / 33a • NPI

1952183428

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207XX0005X (CMS 02)

Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)

Box 32 Service Location & ZIP+4

890 W MAIN ST, GENEVA, OH, 44041-1236

✓ 9-Digit EDI 837 ZIP+4 (44041-1236)

Practice Phone & Referral Fax

(440) 285-4999

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1952183428 (BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1952183428` (NPI-2 Organization / Facility)
Provider / Legal Name	BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD
Plain-English Specialty	Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon) NUCC Code: `207XX0005X` (Orthopaedic Surgery, Sports Medicine)
Certifying / Licensing Body	American Board of Orthopaedic Surgery (ABOS)
Practice Location Address	890 W MAIN ST, GENEVA, OH, 44041-1236
Practice Telephone / Fax	Tel: (440) 285-4999
Administrative Mailing Address	6480 HARRISON AVE STE 201, CINCINNATI, OH, 45247-7961
Enumeration & Last Sync	Enumerated: 2023-10-18 \| CMS Record Updated: 2023-10-18
Authorized Official	ANDREW BLANKEMEYER (Credentialing Coordinator)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

890 W MAIN ST, GENEVA, OH, 44041-1236

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Plain-English Taxonomy & CMS Crosswalk (207XX0005X)

What Does Taxonomy Code 207XX0005X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207XX0005X translates to:
"Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 02 (Physician/General Surgery) • CMS Code 20 (Physician/Orthopedic Surgery) • CMS Code 23 (Physician/Sports Medicine)
Certifying / Accrediting Authority: American Board of Orthopaedic Surgery (ABOS)
Clinical Scope: Severe knee or hip arthritis, bone fractures, torn ligaments or meniscus, rotator cuff shoulder pain, or persistent back and sciatica pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD)

Typical CPT / Diagnostic Procedures:

Total Knee Arthroplasty (CPT 27447) & Total Hip Arthroplasty (CPT 27130)
Arthroscopic Rotator Cuff & ACL Ligament Reconstruction
Intra-Articular Corticosteroid & Hyaluronic Acid Joint Injections (CPT 20610)
Fracture Reduction, Internal Fixation & Carpal Tunnel Release

Common Therapeutic Classes:

NSAIDs & Selective COX-2 Inhibitors (Meloxicam, Celecoxib, Naproxen)
Intra-Articular Triamcinolone Acetonide & Methylprednisolone
Postoperative Venous Thromboembolism (VTE) Prophylaxis (Apixaban, Rivaroxaban)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207XX0005X` — Orthopaedic Surgery, Sports Medicine Plain English: Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BEACON ORTHOPAEDICS & SPORTS MEDICINE, LTD (NPI #1952183428)