DR. CAMERON PATTHANACHAROENPHON (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1073834339
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,082 ORTHOPEDIC SURGERY in MI
Provider Addresses for DR. CAMERON PATTHANACHAROENPHON (M.D.)
3565 MOMENTUM PL
CHICAGO, IL 606895335
Phone: (616) 456-8515
Fax: (616) 456-8208
Type: Mailing
350 LAFAYETTE AVE SE
4TH FLOOR
GRAND RAPIDS, MI 495034656
Phone: (616) 456-8515
Fax: (616) 456-8208
Type: Location
14650 E OLD US HIGHWAY 12 STE 104
CHELSEA, MI 481181801
Phone: (734) 593-5700
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,072.
Total Amount is formed as General ($1,072) + Research ($0) + Ownership ($0) = $1,072.
Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Stryker Corporation ($360).
Total Amount
$1,072
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,072
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $360 |
| ACUMED LLC | $250 |
| DePuy Synthes Sales Inc. | $243 |
| Pinnacle, Inc | $94 |
| TREACE MEDICAL CONCEPTS, INC. | $66 |
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: 2016-07-11
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 |
|---|---|---|---|---|
| I20160711000724 | I | Orthopedic Surgery | MI | 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 | 238 | 147 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 178 | 124 | $0 |
| 73600 | X-ray of ankle, 2 views | 106 | 100 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 64 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
Insurance plans in this area (ZIP 60689)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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