JOHN A PRODOEHL (M.D.) – Specialist, NPI 1750494340
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for JOHN A PRODOEHL (M.D.)
617 CANAL ST STE 110
NEW SMYRNA BEACH, FL 321686901
Phone: (386) 734-9122
Type: Location
421, South Union Avenue, Havre de Grace, Harford County, Maryland, 21078, United States
SUITE 300
HAVRE DE GRACE, MD 21078
Phone: (410) 939-7077
Fax: (410) 939-7983
Type: Location
740 W PLYMOUTH AVE
DELAND, FL 327203282
Phone: (386) 734-9122
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $2,144.
Total Amount is formed as General ($2,144) + Research ($0) + Ownership ($0) = $2,144.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Stryker Corporation ($1,850).
Total Amount
$2,144
General + Research + Ownership
Payments
28
Total payment records
General Amount
$2,144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,850 |
| Smith+Nephew, Inc. | $49 |
| Novus Surgical Consultants | $42 |
| DePuy Synthes Sales Inc. | $41 |
| Davol Inc. | $40 |
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: 2023-07-21
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 |
|---|---|---|---|---|
| I20230721003384 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 423 | 240 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 338 | 128 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 181 | 124 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 70 | $0 |
Insurance plans in this area (ZIP 32168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery | CA | |
| Occupational Therapist In Private Practice | GA | |
| - | FL | |
| Physician Assistant | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Hand Surgery, Orthopedic Surgery, Hand Surgery | MA | |
| Physician Assistant | FL |
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