DR. ROBERT SUMNER PILCHER (M.D.,PHD) – Orthopaedic Surgery Physician, NPI 1376549170
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
933 ORTHOPEDIC SURGERY in GA
Provider Addresses for DR. ROBERT SUMNER PILCHER (M.D.,PHD)
PO BOX 370
FORTSON, GA 318080370
Phone:
Fax: (706) 494-3008
Type: Mailing
117 OAKLAND PKWY
LEESBURG, GA 317637201
Phone: (294) 201-8392
Fax: (229) 483-0601
Type: Location
1908 ALICE ST
WAYCROSS, GA 315016208
Phone: (912) 338-6010
Fax: (912) 287-2796
Type: Mailing
117 Oakland Pkwy
Leesburg, GA 317637201
Phone: (294) 201-8392
Fax: (229) 483-0601
Type: Location
6262 Veterans Pkwy
Columbus, GA 319093540
Phone: (706) 324-6661
Type: Location
341 Racetrack Rd NW Ste B
Fort Walton Beach, FL 325471788
Phone: (850) 226-8112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $831.
Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Stryker Corporation ($544).
Total Amount
$831
General + Research + Ownership
Payments
11
Total payment records
General Amount
$831
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $544 |
| Heron Therapeutics, Inc. | $125 |
| Anika Therapeutics, Inc. | $66 |
| IlluminOss Medical, Inc. | $46 |
| Endo Pharmaceuticals Inc. | $20 |
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: 2018-10-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20031126000156 | I | Orthopedic Surgery | GA | TBD |
| I20181008003523 | I | Orthopedic Surgery | AL | 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 | 131 | 93 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 101 | 62 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 85 | 59 | $0 |
| 73560 | X-ray of knee, 1-2 views | 85 | 49 | $0 |
| 73502 | X-ray of hip, 2-3 views | 84 | 51 | $0 |
Insurance plans in this area (ZIP 31808)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | GA | 20610 | Aspiration and/or injection of large joint or joint capsule | 463 | 270 |
| ORTHOPEDIC SURGERY | GA | 27447 | Repair of knee joint | 42 | 41 |
| ORTHOPEDIC SURGERY | GA | 73562 | X-ray of knee, 3 views | 16 | 16 |
| ORTHOPEDIC SURGERY | GA | 97001 | Physical therapy evaluation | 47 | 47 |
| ORTHOPEDIC SURGERY | GA | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 687 | 65 |
| ORTHOPEDIC SURGERY | GA | 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 113 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| - | AL | |
| Physician Assistant | AL | |
| Physical Therapist In Private Practice | GA | |
| Sports Medicine, Orthopedic Surgery, Orthopedic Surgery | GA | |
| Nurse Practitioner | GA | |
| Physical Therapist In Private Practice | SC | |
| Occupational Therapist In Private Practice | GA | |
| - | GA | |
| Physical Therapist In Private Practice | GA |
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