MITCHELL RAY HERREMA (D.O.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1811126048

MITCHELL RAY HERREMA (D.O.) is a healthcare provider. based in Clearwater, Florida. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. OS12585 (FL). The NPI Number for MITCHELL RAY HERREMA (D.O.) is 1811126048

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
MITCHELL RAY HERREMA (D.O.)
NPI
1811126048
Phone
(727) 446-5993
Address
1011 JEFFORDS ST BLDG C
Enumeration Date
9 July 2009
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
8139789700
Graduation Year
2009 (17 years ago)
PAC ID
4688830201
Group Practice PAC ID
4284532755
Professional Enrollment ID
I20140609000912
Address ID
FL337564070CL1011XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

Provider Addresses for MITCHELL RAY HERREMA (D.O.)

  • 1011 JEFFORDS ST BLDG C

    CLEARWATER, FL 337564070

    Phone: (727) 446-5993

    Fax: (727) 446-4477

    Type: Mailing

  • 5901 E FOWLER AVE STE 100

    TEMPLE TERRACE, FL 336172305

    Phone: (813) 978-9700

    Type: Mailing

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 $534.

Total Amount is formed as General ($534) + Research ($0) + Ownership ($0) = $534.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Stryker Corporation ($321).

Total Amount

$534

General + Research + Ownership

Payments

14

Total payment records

General Amount

$534

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140609000912IOrthopedic SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J7322Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg3,76872$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,630239$0
99214Established patient office or other outpatient visit, 30-39 minutes507364$0
73564X-ray of knee, 4 or more views290241$0
20610Aspiration and/or injection of fluid from large joint286190$0
View full utilization report →

Insurance plans in this area (ZIP 33756)

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Provider's Procedures

MITCHELL RAY HERREMA (D.O.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI20610Aspiration and/or injection of large joint or joint capsule1111
ORTHOPEDIC SURGERYMI73562X-ray of knee, 3 views1917
ORTHOPEDIC SURGERYMI97001Physical therapy evaluation3332
ORTHOPEDIC SURGERYMI97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19537

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284532755View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeNY
Orthopedic SurgeryFL
Nurse PractitionerFL
-FL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
Orthopedic SurgeryFL
Nurse PractitionerFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What number should I use to identify MITCHELL RAY HERREMA (D.O.) for billing?
Administrative and clinical systems typically use NPI 1811126048 for MITCHELL RAY HERREMA (D.O.).
Does the public listing show MITCHELL RAY HERREMA (D.O.) as active?
MITCHELL RAY HERREMA (D.O.)'s NPI record reflects an active status in NPPES.
What services align with MITCHELL RAY HERREMA (D.O.)'s listing?
MITCHELL RAY HERREMA (D.O.)'s public classification highlights Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MITCHELL RAY HERREMA (D.O.) in Clearwater, Florida?
For routing, start with Clearwater, Florida for MITCHELL RAY HERREMA (D.O.), then verify phone and hours locally.
Why is information missing for MITCHELL RAY HERREMA (D.O.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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