DR. TOD NORTHRUP (D.O.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1386622496
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. TOD NORTHRUP (D.O.)
150 Southpark Blvd Ste 102
St Augustine, FL 320865122
Phone: (904) 466-1197
Fax: (904) 823-8967
Type: Location
St Augustine Post Office, 34, Main Street, St. Augustine, Knox County, Illinois, 61474, United States
ST AUGUSTINE, FL 320854389
Phone: (904) 466-1197
Fax: (904) 823-8967
Type: Mailing
475 W TOWN PL STE 106
ST AUGUSTINE, FL 320923648
Phone: (904) 466-1197
Fax: (904) 823-8967
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $42,385.
Total Amount is formed as General ($42,385) + Research ($0) + Ownership ($0) = $42,385.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: OMNIlife science, Inc ($39,849).
Total Amount
$42,385
General + Research + Ownership
Payments
14
Total payment records
General Amount
$42,385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OMNIlife science, Inc | $39,849 |
| Team 1, Llc | $2,324 |
| Pacira Pharmaceuticals Incorporated | $172 |
| Arthrex, Inc. | $24 |
| Horizon Therapeutics plc | $16 |
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: 2010-02-22
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 |
|---|---|---|---|---|
| I20100222000785 | I | Orthopedic 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 229 | 151 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 160 | 110 | $0 |
| 73562 | X-ray of knee, 3 views | 147 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 94 | 94 | $0 |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 88 | 28 | $0 |
Insurance plans in this area (ZIP 32086)
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Provider's Procedures
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