DR. JONATHAN W SURDAM (M.D.) – Specialist, NPI 1124009287
Specialist
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Contacts
Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
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Provider Addresses for DR. JONATHAN W SURDAM (M.D.)
583, South Clarizz Boulevard, Hoosier Acres, Bloomington, Monroe County, Indiana, 47401, United States
BLOOMINGTON, IN 474015515
Phone:
Type: Mailing
1302, South Rogers Street, Broadview, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IN 474034752
Phone: (812) 333-2663
Fax: (812) 676-4131
Type: Location
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 $1,150.
Total Amount is formed as General ($1,150) + Research ($0) + Ownership ($0) = $1,150.
Last reported payment date: 2023-09-30 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($1,150).
Total Amount
$1,150
General + Research + Ownership
Payments
13
Total payment records
General Amount
$1,150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $1,150 |
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: 2004-08-24
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 |
|---|---|---|---|---|
| I20040824000141 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 458 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 136 | $0 |
| 73562 | X-ray of knee, 3 views | 130 | 128 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 76 | $0 |
| 20985 | Computer-assisted surgery for muscle and bone procedure | 76 | 74 | $0 |
Insurance plans in this area (ZIP 47401)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | PA | |
| Physician Assistant | IN | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Family Practice | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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