NPI Details
MR. Patrick Lee Wupperman, MD is an orthopaedic surgery in Tyler, TX with 26 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. MR. Patrick Lee Wupperman, MD NPI is 1538276001. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2000
The provider's business location address is:
8101 S BROADWAY AVE
SUITE 200
TYLER, TX
ZIP 75703-469
Phone: (903) 939-7500
Fax: (903) 939-7728
The NPI 1538276001 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
- Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
- Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)
- Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
- Removal of extensive shoulder joint tissue using an endoscope (HCPCS:29823)
- Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 8/23/2006 and was last updated on 10/27/2022.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | M4666 | TEXAS | Yes |
| 2 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | M4666 | TEXAS | No |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 183593601 | MEDICAID | TEXAS | |