DR. EDWARD PAUL SOUTHERN (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1053360941
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. EDWARD PAUL SOUTHERN (M.D.)
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone: (850) 883-8345
Type: Mailing
BAYNE-JONES ARMY COMMUNITY HOSPITAL
1585 THIRD ST
FORT POLK, LA 71459
Phone: (337) 531-3000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,763.
Total Amount is formed as General ($1,763) + Research ($0) + Ownership ($0) = $1,763.
Last reported payment date: 2024-01-06 • Largest payer in this snapshot: Arthrex, Inc. ($1,009).
Total Amount
$1,763
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,763
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,009 |
| ALON MEDICAL TECHNOLOGY | $513 |
| Alon Medical Technology | $241 |
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: 2007-05-15
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 |
|---|---|---|---|---|
| I20070515000106 | I | Orthopedic Surgery | MI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| - | TX | |
| - | NY | |
| Sleep Medicine, Critical Care (Intensivists) | TX | |
| Surgical Oncology | NY | |
| General Surgery | TN | |
| General Surgery | GA | |
| U R O L O G Y | NY | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX |
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