DR. FERNANDO DAVID NUSSENBAUM (M.D) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1205274800

DR. FERNANDO DAVID NUSSENBAUM (M.D) is a healthcare provider. based in Stockbridge, Georgia. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D. They hold a License No. BP10046144 (TX). The NPI Number for DR. FERNANDO DAVID NUSSENBAUM (M.D) is 1205274800

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. FERNANDO DAVID NUSSENBAUM (M.D)
NPI
1205274800
Phone
(770) 892-0300
Address
135 N PARK PL STE 101
Enumeration Date
5 June 2013
Last Update Date
10 December 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9858824500
Graduation Year
2013 (13 years ago)
PAC ID
1052668118
Group Practice PAC ID
7012162464
Professional Enrollment ID
I20240828005207
Address ID
LA704455411LA64301434X300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

933 ORTHOPEDIC SURGERY in GA

Provider Addresses for DR. FERNANDO DAVID NUSSENBAUM (M.D)

  • 135 N PARK PL STE 101

    STOCKBRIDGE, GA 302817237

    Phone: (770) 892-0300

    Type: Mailing

  • 64301 HIGHWAY 434

    LACOMBE, LA 704455411

    Phone: (985) 882-4500

    Type: Mailing

  • 3190 E CAUSEWAY APPROACH

    MANDEVILLE, LA 704483563

    Phone: (985) 882-4500

    Type: Location

  • 987 Robert Blvd

    Slidell, LA 704582009

    Phone: (985) 882-4500

    Type: Location

  • 995 Robert Blvd

    Slidell, LA 704582009

    Phone: (985) 520-0909

    Type: Location

  • 985 Robert Blvd Ste 104

    Slidell, LA 704582063

    Phone: (985) 520-0909

    Type: Location

  • 985 Robert Blvd Ste 105

    Slidell, LA 704582063

    Phone: (985) 661-6215

    Type: Location

  • 64301 Highway 434

    LaCombe, LA 704455411

    Phone: (985) 882-4500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $3,839.

Total Amount is formed as General ($3,839) + Research ($0) + Ownership ($0) = $3,839.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($3,175).

Total Amount

$3,839

General + Research + Ownership

Payments

34

Total payment records

General Amount

$3,839

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2024-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20200814001203IOrthopedic SurgeryGATBD
I20240807003575IOrthopedic SurgeryMETBD
I20240828005207IOrthopedic SurgeryLATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes313170$0
99214Established patient office or other outpatient visit, 30-39 minutes188131$0
73502X-ray of hip, 2-3 views15170$0
73562X-ray of knee, 3 views14980$0
20610Aspiration and/or injection of fluid from large joint13676$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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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: 7012162464View full group profile
NameSpecialtyState
Family PracticeMS
Physical Therapist In Private PracticeLA
Nurse PractitionerLA
Physical Medicine And RehabilitationLA
Pain Management, AnesthesiologyLA
N E U R O L O G YLA
-LA
N E U R O L O G YLA
Diagnostic RadiologyLA
Diagnostic RadiologyLA

Reviews

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Frequently asked questions

Is DR. FERNANDO DAVID NUSSENBAUM (M.D) listed with a National Provider Identifier?
Yes — DR. FERNANDO DAVID NUSSENBAUM (M.D) has NPI 1205274800 on file in the registry.
Is there an active status for DR. FERNANDO DAVID NUSSENBAUM (M.D)?
For scheduling context, DR. FERNANDO DAVID NUSSENBAUM (M.D) is shown as active in the registry.
What clinical focus is listed for DR. FERNANDO DAVID NUSSENBAUM (M.D)?
At a glance, DR. FERNANDO DAVID NUSSENBAUM (M.D) is tied to Adult Reconstructive Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Is DR. FERNANDO DAVID NUSSENBAUM (M.D) located near Stockbridge?
DR. FERNANDO DAVID NUSSENBAUM (M.D) currently maps to Stockbridge, Georgia in this extract.
What does 9 location(s) imply?
9 practice locations appear in the available data.

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