DR. HUSAM MOURTADA (MD) – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1114998671
Sports Medicine (Neuromusculoskeletal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
153 PHYSICAL MEDICINE AND REHABILITATION in SC
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Provider Addresses for DR. HUSAM MOURTADA (MD)
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303743070
Phone: (864) 560-4304
Fax: (864) 560-4413
Type: Mailing
Carolina Medical Affiliates, 1330, Boiling Springs Road, Spartanburg County, South Carolina, 29316, United States
SUITE 1800
SPARTANBURG, SC 293034201
Phone: (864) 560-9646
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $168.
Total Amount is formed as General ($168) + Research ($0) + Ownership ($0) = $168.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($58).
Total Amount
$168
General + Research + Ownership
Payments
7
Total payment records
General Amount
$168
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-02-26
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 |
|---|---|---|---|---|
| I20040226000811 | I | Physical Medicine And Rehabilitation | SC | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 416 | 163 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 96 | 96 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 59 | 33 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 54 | 14 | $0 |
Insurance plans in this area (ZIP 30374)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | SC | |
| Hospitalist, Family Practice | SC | |
| Internal Medicine | TN | |
| Emergency Medicine | SC | |
| Internal Medicine | GA | |
| Emergency Medicine | SC | |
| Emergency Medicine | TN | |
| Emergency Medicine | SC | |
| Emergency Medicine | NC | |
| Family Practice | SC |
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