CHARLES WAYNE JR. HARTZOG (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1952388050
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
112 SPORTS MEDICINE in AL
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Provider Addresses for CHARLES WAYNE JR. HARTZOG (MD)
Lomac Street, Brookwood Estates, Montgomery, Montgomery County, Alabama, 36106, United States
MONTGOMERY, AL 361063604
Phone: (334) 274-9000
Fax: (334) 274-0857
Type: Location
PO BOX 370
FORTSON, GA 318080370
Phone:
Type: Mailing
Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States
MONTGOMERY, AL 361235003
Phone: (334) 274-9000
Fax: (334) 274-0857
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($196).
Total Amount
$196
General + Research + Ownership
Payments
2
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $196 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-03-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100318000017 | I | Sports Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,078 | 175 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 428 | 264 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 245 | 177 | $0 |
| 73564 | X-ray of knee, 4 or more views | 203 | 164 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 181 | 181 | $0 |
Insurance plans in this area (ZIP 36106)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | AL | |
| Physical Therapist In Private Practice | GA | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery, Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | SC | |
| Sports Medicine, Orthopedic Surgery | GA | |
| Occupational Therapist In Private Practice | GA |
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