DR. LINUS IKECHUKWU IGBOKWE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1043834732
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
150 SPORTS MEDICINE in GA
Provider Addresses for DR. LINUS IKECHUKWU IGBOKWE (MD)
1462 Montreal Rd Ste 101
Tucker, GA 300846904
Phone: (678) 257-7078
Type: Location
5320 BEACON DR APT 3003
IRONDALE, AL 352102879
Phone: (504) 606-9478
Type: Mailing
2152 OLD SPRINGVILLE RD
CENTER POINT, AL 352154005
Phone: (205) 838-6000
Type: Location
2505 NEWPOINT PKWY STE 100
LAWRENCEVILLE, GA 300436003
Phone: (678) 257-7078
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $10,200.
Total Amount is formed as General ($10,200) + Research ($0) + Ownership ($0) = $10,200.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Arthrex, Inc. ($10,000).
Total Amount
$10,200
General + Research + Ownership
Payments
5
Total payment records
General Amount
$10,200
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $10,000 |
| DJO, LLC | $126 |
| Bioventus LLC | $41 |
| AstraZeneca Pharmaceuticals LP | $18 |
| ABBVIE INC. | $15 |
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: 2025-07-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250709000688 | I | Sports Medicine | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30084)
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