Unknown Individual – Orthopaedic Surgery Physician, NPI 1407853229
Orthopaedic Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2006, Holiday Lane, Riceville, Fulton, Fulton County, Kentucky, 42041, United States
STE. 300
FULTON, KY 420418468
Phone: (270) 472-8120
Fax: (270) 472-8123
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,152 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 157 | 89 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 149 | 34 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 111 | 16 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 79 | 55 | $0 |
Insurance plans in this area (ZIP 42041)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | KY | 27447 | Repair of knee joint | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Orthopedic Surgery | KY | |
| - | IL | |
| Family Practice | KY | |
| General Surgery | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Physician Assistant | KY | |
| Internal Medicine | KY | |
| - | KY |
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