DR. ETHAN WESLEY DEAN (MD) – Orthopaedic Hand Surgery Physician, NPI 1093133894

DR. ETHAN WESLEY DEAN (MD) is a healthcare provider. based in Gainesville, Florida. specializing in ORTHOPEDIC SURGERY, HAND SURGERY. They hold the professional credentials MD. They hold a License No. 89800 (GA). The NPI Number for DR. ETHAN WESLEY DEAN (MD) is 1093133894

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. ETHAN WESLEY DEAN (MD)
NPI
1093133894
Phone
(352) 273-7002
Address
1600 SW ARCHER RD
Enumeration Date
31 March 2014
Last Update Date
31 October 2025

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4043521053
Graduation Year
2014 (12 years ago)
PAC ID
8123244522
Group Practice PAC ID
4385963172
Professional Enrollment ID
I20211011002127
Address ID
GA303193374BR3929XNEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for DR. ETHAN WESLEY DEAN (MD)

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 273-7002

    Type: Mailing

  • 3450 HULL RD

    GAINESVILLE, FL 326074144

    Phone: (352) 273-7001

    Fax: (352) 273-7388

    Type: Location

  • 620 CHEROKEE ST NE STE 300

    MARIETTA, GA 300607233

    Phone: (770) 635-1812

    Fax: (770) 485-2883

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $316.

Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($101).

Total Amount

$316

General + Research + Ownership

Payments

5

Total payment records

General Amount

$316

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-10-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211011002127IHand SurgeryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1030Injection, methylprednisolone acetate, 40 mg14069$0
99213Established patient office or other outpatient visit, 20-29 minutes9874$0
99204New patient office or other outpatient visit, 45-59 minutes8181$0
99214Established patient office or other outpatient visit, 30-39 minutes8063$0
73130X-ray of hand, minimum of 3 views4745$0
View full utilization report →

Insurance plans in this area (ZIP 32610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385963172View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Orthopedic SurgeryGA
-GA
Physical Medicine And RehabilitationMO
-GA
Orthopedic SurgeryGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA
Physician AssistantGA

Reviews

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Frequently asked questions

What is the standard ID for DR. ETHAN WESLEY DEAN (MD) in the U.S.?
In the U.S., DR. ETHAN WESLEY DEAN (MD) is identified by NPI 1093133894.
Is DR. ETHAN WESLEY DEAN (MD)'s NPI status active today?
Active status means DR. ETHAN WESLEY DEAN (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. ETHAN WESLEY DEAN (MD) provide?
DR. ETHAN WESLEY DEAN (MD)'s profile centers on Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. ETHAN WESLEY DEAN (MD) tied to Gainesville, Florida?
If you are local to Gainesville, Florida, DR. ETHAN WESLEY DEAN (MD) may be relevant to your search.
Why is information missing for DR. ETHAN WESLEY DEAN (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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