STANTON L LONGENECKER (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1821092271
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
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Provider Addresses for STANTON L LONGENECKER (MD)
Shircliff Way, Riverside, Jacksonville, Duval County, Florida, 32204, United States
CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 322044753
Phone: (904) 204-5000
Fax: (904) 204-4000
Type: Location
11945 SAN JOSE BLVD STE 300
JACKSONVILLE, FL 322231627
Phone: (904) 396-1725
Fax: (904) 396-4893
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $9,673.
Total Amount is formed as General ($9,673) + Research ($0) + Ownership ($0) = $9,673.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: UOC USA INC ($9,402).
Total Amount
$9,673
General + Research + Ownership
Payments
17
Total payment records
General Amount
$9,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| UOC USA INC | $9,402 |
| PFIZER INC. | $205 |
| Aroa Biosurgery Incorporated | $39 |
| Zimmer Biomet Holdings, Inc. | $27 |
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: 2006-07-14
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 |
|---|---|---|---|---|
| I20060714000092 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,070 | 94 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 150 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 96 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 76 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 32204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O T O L A R Y N G O L O G Y | PA | |
| Otolaryngology, General Surgery | FL | |
| O T O L A R Y N G O L O G Y | KY | |
| General Surgery, Critical Care (Intensivists) | FL | |
| Orthopedic Surgery | FL | |
| General Surgery | FL | |
| General Surgery | FL | |
| O P H T H A L M O L O G Y | FL | |
| Pain Management | FL | |
| Physical Therapist In Private Practice | FL |
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