DR. MICHAEL GABRIEL AZZAM (M.D.) – Orthopaedic Surgery Physician, NPI 1215258736
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
324 ORTHOPEDIC SURGERY in KS
Provider Addresses for DR. MICHAEL GABRIEL AZZAM (M.D.)
5200 W 94TH TER STE 113
PRAIRIE VILLAGE, KS 662072522
Phone: (913) 906-8640
Fax: (913) 906-8682
Type: Mailing
12639 OLD TESSON RD
STE 100
ST. LOUIS, MO 63128
Phone: (913) 381-5225
Fax: (913) 901-0186
Type: Mailing
10701 NALL AVE
STE 200
OVERLAND PARK, KS 66211
Phone: (913) 381-5225
Fax: (913) 901-0186
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $170.
Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($109).
Total Amount
$170
General + Research + Ownership
Payments
5
Total payment records
General Amount
$170
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $109 |
| Ossur Americas, Inc. | $38 |
| ACUMED LLC | $23 |
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: 2018-11-20
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 |
|---|---|---|---|---|
| I20181120002506 | I | Orthopedic Surgery | KS | 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 | 84 | 11 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 32 | 15 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 31 | 11 | $0 |
Insurance plans in this area (ZIP 66207)
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