EMILY A DAMITZ (PA) – Surgical Physician Assistant, NPI 1366678088
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for EMILY A DAMITZ (PA)
PO BOX 781076
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
1225 E COOLSPRING AVE STE 300
MICHIGAN CITY, IN 463606312
Phone: (219) 878-5032
Fax: (219) 878-5052
Type: Location
601 Gateway Blvd N
Chesterton, IN 463049658
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
2501 Cumberland Dr
Valparaiso, IN 463832503
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
3691 Willowcreek Rd
Portage, IN 463685080
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Location
601, Gateway Boulevard, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463049658
Phone: (219) 921-1444
Fax: (219) 921-5303
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2009-08-13
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 |
|---|---|---|---|---|
| I20090813000699 | I | Physician Assistant | 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 | 411 | 28 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 355 | 108 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 252 | 102 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 243 | 51 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 176 | 40 | $0 |
Insurance plans in this area (ZIP 48278)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | IN | 27447 | Repair of knee joint | 91 | 85 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | MI | |
| - | IN | |
| - | IN | |
| Family Practice | IN | |
| - | MI | |
| Internal Medicine | IN | |
| Internal Medicine, Emergency Medicine | MI |
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