Unknown Individual – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1376546028
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Fairpoint Drive, Gulf Breeze, Santa Rosa County, Florida, 32561, United States of America
STE B
GULF BREEZE, FL 325614380
Phone: (850) 916-9777
Fax: (850) 916-0763
Type: Mailing
4700 BAYOU BLVD STE 1C
PENSACOLA, FL 325032670
Phone: (850) 916-9777
Fax: (850) 916-0763
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $2,279.
Total Amount is formed as General ($2,279) + Research ($0) + Ownership ($0) = $2,279.
Last reported payment date: 2024-06-07 • Largest payer in this snapshot: Smith+Nephew, Inc. ($2,133).
Total Amount
$2,279
General + Research + Ownership
Payments
10
Total payment records
General Amount
$2,279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $2,133 |
| ENCORE MEDICAL, LP | $103 |
| ORTHO DEVELOPMENT CORPORATION | $43 |
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.
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,010 | 129 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 251 | 130 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 231 | 152 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 104 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 105 | 80 | $0 |
Insurance plans in this area (ZIP 32561)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | FL | 20610 | Aspiration and/or injection of large joint or joint capsule | 241 | 114 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Sports Medicine | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL |
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