DR. CHRISTIAAN NIKOLAJE MAMCZAK (DO) – Orthopaedic Trauma Physician, NPI 1912112384
Orthopaedic Trauma Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
668 ORTHOPEDIC SURGERY in IN
Provider Addresses for DR. CHRISTIAAN NIKOLAJE MAMCZAK (DO)
100 NAVARRE PL STE 4440
SOUTH BEND, IN 466011171
Phone: (574) 647-5300
Fax: (574) 647-5305
Type: Location
PO BOX 95590
SOUTH JORDAN, UT 840950590
Phone:
Type: Mailing
125 BAPTIST WAY STE 4A
PENSACOLA, FL 325032274
Phone: (448) 227-6480
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Type: Mailing
603 7TH ST S STE 450
ST PETERSBURG, FL 337014741
Phone: (727) 527-5272
Fax: (727) 522-7412
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $43,474.
Total Amount is formed as General ($43,474) + Research ($0) + Ownership ($0) = $43,474.
Last reported payment date: 2024-12-15 • Largest payer in this snapshot: Smith+Nephew, Inc. ($43,212).
Total Amount
$43,474
General + Research + Ownership
Payments
70
Total payment records
General Amount
$43,474
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $43,212 |
| Cgg Medical Inc | $118 |
| IlluminOss Medical, Inc. | $60 |
| Ethicon US, LLC | $36 |
| Kerecis Limited | $29 |
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: 2022-04-07
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 |
|---|---|---|---|---|
| I20220407001497 | I | Orthopedic Surgery | FL | 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 |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 51 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 31 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20 | 16 | $0 |
| 72190 | X-ray of pelvis, minimum of 3 views | 16 | 12 | $0 |
Insurance plans in this area (ZIP 46601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| O T O L A R Y N G O L O G Y | UT | |
| - | FL | |
| - | FL | |
| N E U R O S U R G E R Y | FL | |
| - | FL | |
| - | WA |
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