THAD KAMMERLOCHER (MD) – Surgery Physician, NPI 1326003997
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
490 VASCULAR SURGERY in FL
Provider Addresses for THAD KAMMERLOCHER (MD)
6821 PALISADES PARK CT
SUITE 1
FORT MYERS, FL 339127131
Phone: (239) 936-8555
Fax: (239) 936-5611
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 180 Open Payments records for all available years, with a total value of $15,718.
Total Amount is formed as General ($15,718) + Research ($0) + Ownership ($0) = $15,718.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Medtronic, Inc. ($3,501).
Total Amount
$15,718
General + Research + Ownership
Payments
180
Total payment records
General Amount
$15,718
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $3,501 |
| Penumbra, Inc. | $3,384 |
| W. L. Gore & Associates, Inc. | $2,033 |
| Cook Medical LLC | $1,810 |
| ShockWave Medical, Inc | $863 |
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: 2004-06-28
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 |
|---|---|---|---|---|
| I20040628000775 | I | Vascular Surgery | FL | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,076 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 309 | 247 | $0 |
| 93880 | Ultrasound of both sides of head and neck blood flow | 79 | 76 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 78 | 64 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 66 | 61 | $0 |
Insurance plans in this area (ZIP 33912)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | FL | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 12 | 12 |
| VASCULAR SURGERY | FL | 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 38 | 35 |
| VASCULAR SURGERY | FL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 37 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery, General Surgery | FL | |
| Nurse Practitioner | FL | |
| Vascular Surgery | FL | |
| Physician Assistant | FL | |
| General Surgery, Vascular Surgery | FL | |
| General Surgery | FL | |
| Vascular Surgery | FL |
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