DR. GEORGE ROBERT KOLETTIS (MD) – Orthopaedic Surgery Physician, NPI 1083177422
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
Provider Addresses for DR. GEORGE ROBERT KOLETTIS (MD)
720 ESKENAZI AVE, FOB 2ND FLOOR
ROOM F2-163
INDIANAPOLIS, IN 462021357
Phone: (317) 278-5835
Type: Mailing
PO BOX 2526
FORT WAYNE, IN 468012526
Phone: (260) 436-8686
Type: Mailing
7601 W JEFFERSON BLVD
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $5,777.
Total Amount is formed as General ($5,777) + Research ($0) + Ownership ($0) = $5,777.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Smith+Nephew, Inc. ($5,114).
Total Amount
$5,777
General + Research + Ownership
Payments
18
Total payment records
General Amount
$5,777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $5,114 |
| OMNIlife science, Inc | $162 |
| Zimmer Biomet Holdings, Inc. | $140 |
| Osteoremedies, LLC | $133 |
| Medical Device Business Services, Inc. | $132 |
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: 2025-06-13
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 |
|---|---|---|---|---|
| I20240717004364 | I | Orthopedic Surgery | FL | TBD |
| I20250613002922 | I | Orthopedic Surgery | IN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| - | IN |
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