DR. THOMAS A II AMBROSE (MD) – Orthopaedic Surgery Physician, NPI 1679524805
Orthopaedic Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
119 ORTHOPEDIC SURGERY in SD
Provider Addresses for DR. THOMAS A II AMBROSE (MD)
900 W TEMPLE AVE STE 2500
EFFINGHAM, IL 624012121
Phone: (217) 540-2350
Fax: (217) 347-2323
Type: Mailing
911 E. 20th St.
Ste. 300
Sioux Falls, SD 571051045
Phone: (605) 322-1300
Fax: (605) 322-1301
Type: Location
Plaza 4, 911, East 20th Street, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57105, United States
STE. 300
SIOUX FALLS, SD 571051045
Phone: (605) 322-1300
Fax: (605) 322-1301
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $2,469.
Total Amount is formed as General ($2,469) + Research ($0) + Ownership ($0) = $2,469.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($2,190).
Total Amount
$2,469
General + Research + Ownership
Payments
12
Total payment records
General Amount
$2,469
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $2,190 |
| Smith+Nephew, Inc. | $152 |
| EXACTECH, INC. | $127 |
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: 2024-11-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20161108001963 | I | Orthopedic Surgery | SD | TBD |
| I20240111004323 | I | Orthopedic Surgery | MN | TBD |
| I20240621003218 | I | Orthopedic Surgery | NC | TBD |
| I20241126002199 | I | Orthopedic Surgery | IL | 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 |
|---|---|---|---|---|
| 73560 | X-ray of knee, 1-2 views | 106 | 78 | $0 |
| 73564 | X-ray of knee, 4 or more views | 99 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 64 | $0 |
| 73502 | X-ray of hip, 2-3 views | 70 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 62401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| - | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| - | IL | |
| General Surgery | IL | |
| - | IL | |
| - | IL | |
| Certified Nurse Midwife (Cnm) | IL | |
| - | IL | |
| Gastroenterology, Internal Medicine | IL |
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