KAI MITHOEFER (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1275504219
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
947 ORTHOPEDIC SURGERY in MA
Provider Addresses for KAI MITHOEFER (M.D.)
40 ALLIED DRIVE
DED HAM, MA 02026
Phone: (617) 264-1100
Fax: (617) 264-1101
Type: Location
Chestnut Hill-West Roxbury - Harvard Vanguard, 291, Independence Drive, Hancock Village, Brookline, Norfolk County, Massachusetts, 02467, United States
CHESTNUT HILL, MA 024673628
Phone: (617) 541-6350
Fax: (617) 541-6371
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $26,681.
Total Amount is formed as General ($26,681) + Research ($0) + Ownership ($0) = $26,681.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Vericel Corporation ($21,182).
Total Amount
$26,681
General + Research + Ownership
Payments
32
Total payment records
General Amount
$26,681
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $21,182 |
| Miach Orthopaedics, Inc. | $3,750 |
| Kairos Surgical Inc | $990 |
| Arthrex, Inc. | $442 |
| Smith+Nephew, 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: 2005-07-11
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 |
|---|---|---|---|---|
| I20050711000051 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 152 | 97 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 71 | 71 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 48 | $0 |
| 73564 | X-ray of knee, 4 or more views | 49 | 39 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 29 | 27 | $0 |
Insurance plans in this area (ZIP 02026)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | MA | |
| Physician Assistant | MA | |
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | MA | |
| Nurse Practitioner | MA | |
| Orthopedic Surgery | NH | |
| Physician Assistant | NH | |
| Physical Medicine And Rehabilitation | NH | |
| Physician Assistant | NH | |
| Physician Assistant | MA |
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