DR. ADELBERT J MENCIAS (MD) – Orthopaedic Hand Surgery Physician, NPI 1437131489
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
82 HAND SURGERY in IN
Provider Addresses for DR. ADELBERT J MENCIAS (MD)
53880 CARMICHAEL DR
SOUTH BEND, IN 466351567
Phone: (574) 247-9441
Fax: (574) 247-9442
Type: Mailing
60160 Bodnar Blvd
Mishawaka, IN 465449338
Phone: (574) 247-9441
Type: Location
303 S Nappanee St Ste F
Elkhart, IN 465142066
Phone: (574) 247-9441
Type: Location
2349 Lake Ave Ste 201
Plymouth, IN 465637837
Phone: (574) 247-9441
Type: Location
3600 W BETHEL AVE
MUNCIE, IN 473045407
Phone:
Fax: (574) 247-9442
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $22,649.
Total Amount is formed as General ($22,649) + Research ($0) + Ownership ($0) = $22,649.
Last reported payment date: 2024-12-08 • Largest payer in this snapshot: Skeletal Dynamics Inc ($20,944).
Total Amount
$22,649
General + Research + Ownership
Payments
36
Total payment records
General Amount
$22,649
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Skeletal Dynamics Inc | $20,944 |
| Stryker Corporation | $763 |
| Linvatec Corporation | $277 |
| Amgen Inc. | $181 |
| Radius Health, Inc. | $137 |
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 |
|---|---|---|---|---|
| I20040824000298 | I | Hand 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 | 496 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 100 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 104 | 86 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 72 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 68 | 68 | $0 |
Insurance plans in this area (ZIP 46635)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN | |
| Physical Therapist In Private Practice | IN | |
| Nurse Practitioner | IN |
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