DR. ANDREW G CORDISTA (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1295745081
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
Provider Addresses for DR. ANDREW G CORDISTA (MD)
9 Hospital Park
Moultrie, GA 317686772
Phone: (229) 890-6612
Type: Location
3131 S Main St
Moultrie, GA 317686925
Phone: (229) 890-6612
Type: Location
PO BOX 2876
MOULTRIE, GA 317762876
Phone: (229) 890-6612
Type: Mailing
8, Live Oak Court, Moultrie, Colquitt County, Georgia, 31768, United States
MOULTRIE, GA 317686783
Phone: (229) 890-6612
Fax: (229) 890-6621
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $6,222.
Total Amount is formed as General ($6,222) + Research ($0) + Ownership ($0) = $6,222.
Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Spineology Inc. ($5,912).
Total Amount
$6,222
General + Research + Ownership
Payments
13
Total payment records
General Amount
$6,222
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 |
|---|---|
| Spineology Inc. | $5,912 |
| DJO, LLC | $82 |
| Cgg Medical Inc | $58 |
| Cerapedics Inc. | $51 |
| Bioventus LLC | $45 |
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: 2004-02-04
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 |
|---|---|---|---|---|
| I20040204000534 | I | Orthopedic Surgery | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 454 | 236 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 224 | 136 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 181 | 123 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 154 | 102 | $0 |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 56 | 56 | $0 |
Insurance plans in this area (ZIP 31768)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | GA | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 38 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA |
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