DOUGLAS PREVOST (M.D.) – Orthopaedic Surgery Physician, NPI 1952376022
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
87 ORTHOPEDIC SURGERY in AK
Provider Addresses for DOUGLAS PREVOST (M.D.)
4100 LAKE OTIS PKWY STE 108
ANCHORAGE, AK 995085230
Phone: (907) 563-3145
Fax: (833) 464-5196
Type: Location
3831, Piper Street, Anchorage, Alaska, 99508, United States
SUITE S-220
ANCHORAGE, AK 995084672
Phone: (907) 563-3145
Fax: (907) 561-3967
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $540.
Total Amount is formed as General ($540) + Research ($0) + Ownership ($0) = $540.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($365).
Total Amount
$540
General + Research + Ownership
Payments
8
Total payment records
General Amount
$540
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $365 |
| Heron Therapeutics, Inc. | $66 |
| ACUMED LLC | $43 |
| DePuy Synthes Sales Inc. | $35 |
| Abbott Laboratories | $15 |
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: 2005-08-15
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 |
|---|---|---|---|---|
| I20050815000727 | I | Orthopedic Surgery | AK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 225 | 184 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 149 | 99 | $0 |
| 73502 | X-ray of hip, 2-3 views | 141 | 126 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 140 | 110 | $0 |
| 73564 | X-ray of knee, 4 or more views | 121 | 97 | $0 |
Insurance plans in this area (ZIP 99508)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AK | |
| Physician Assistant | AK | |
| Physical Therapist In Private Practice | AK | |
| - | AK | |
| Physical Therapist In Private Practice | NE | |
| - | AK | |
| Orthopedic Surgery | OK | |
| Orthopedic Surgery | AK | |
| Orthopedic Surgery | AK | |
| - | AK |
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