KEVIN MICHAEL DOULENS (MD) – Orthopaedic Surgery Physician, NPI 1447263694
Orthopaedic Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for KEVIN MICHAEL DOULENS (MD)
851042 US HIGHWAY 17
YULEE, FL 320972845
Phone: (904) 202-6683
Fax: (904) 376-3062
Type: Location
PO BOX 746647
ATLANTA, GA 303746647
Phone: (904) 202-2092
Fax: (904) 376-4075
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
2598 W WHITE RIVER BLVD
MUNCIE, IN 473035251
Phone: (765) 702-2817
Fax: (317) 222-2198
Type: Location
851042 US HIGHWAY 17 STE A
YULEE, FL 320972845
Phone: (904) 202-6683
Fax: (904) 376-3062
Type: Location
Jefferson Highway, Southport, Jefferson, New Orleans, Jefferson Parish, Louisiana, 70121, United States
NEW ORLEANS, LA 701212429
Phone: (504) 842-4000
Type: Mailing
104, Medical Center Drive, Pearl Acres, Slidell, St. Tammany Parish, Louisiana, 70461, United States
SLIDELL, LA 704615575
Phone: (985) 646-5550
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $2,862.
Total Amount is formed as General ($2,862) + Research ($0) + Ownership ($0) = $2,862.
Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Arthrex, Inc. ($1,288).
Total Amount
$2,862
General + Research + Ownership
Payments
43
Total payment records
General Amount
$2,862
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $1,288 |
| Crossroads Orthopedics, LLC | $1,153 |
| Linvatec Corporation | $163 |
| Smith+Nephew, Inc. | $155 |
| Siemens Medical Solutions USA, Inc. | $66 |
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: 2022-03-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070504000394 | I | Sports Medicine | FL | TBD |
| I20151216000697 | I | Sports Medicine | MS | TBD |
| I20220314000650 | I | Sports Medicine | IN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 32097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NY | |
| Nurse Practitioner | MA | |
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | GA | |
| N E U R O S U R G E R Y | GA | |
| - | FL | |
| - | FL |
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