Unknown Individual – Orthopaedic Surgery Physician, NPI 1053406512
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
341 RACETRACK RD NW STE B
SUITE 114
FORT WALTON BEACH, FL 325471552
Phone: (850) 862-2663
Fax: (850) 862-0188
Type: Location
6262, Veterans Parkway, Ogletree Woods, Columbus, Muscogee County, Georgia, 31909, United States
COLUMBUS, GA 319093540
Phone: (706) 324-6661
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 $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: Cgg Medical Inc ($149).
Total Amount
$244
General + Research + Ownership
Payments
2
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cgg Medical Inc | $149 |
| CGG Medical Inc | $95 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 7,056 | 11 | $0 |
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,080 | 11 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 500 | 61 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 226 | 124 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 137 | 67 | $0 |
Insurance plans in this area (ZIP 32547)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 73562 | X-ray of knee, 3 views | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| - | AL | |
| - | FL |
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