MITHUN KOTRESH NERAL (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1699195990
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
Provider Addresses for MITHUN KOTRESH NERAL (MD)
5701 BOW POINTE DR STE 100
CLARKSTON, MI 483463199
Phone: (248) 625-2621
Fax: (248) 625-2622
Type: Mailing
3726 BROADWAY STE 201
EVERETT, WA 982013788
Phone: (425) 317-9119
Fax: (425) 317-9118
Type: Mailing
6815 DIXIE HWY STE 1
CLARKSTON, MI 483462092
Phone: (248) 384-8350
Fax: (248) 384-8351
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $4,180.
Total Amount is formed as General ($4,180) + Research ($0) + Ownership ($0) = $4,180.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Pinnacle, Inc ($1,915).
Total Amount
$4,180
General + Research + Ownership
Payments
46
Total payment records
General Amount
$4,180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pinnacle, Inc | $1,915 |
| Stryker Corporation | $1,055 |
| Arthrex, Inc. | $751 |
| Bioventus LLC | $108 |
| DePuy Synthes Sales Inc. | $78 |
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: 2022-12-15
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 |
|---|---|---|---|---|
| I20221215002239 | I | Orthopedic Surgery | MI | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 206 | 65 | $0 |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 200 | 30 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 135 | 89 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 114 | 114 | $0 |
| 73564 | X-ray of knee, 4 or more views | 58 | 54 | $0 |
Insurance plans in this area (ZIP 48346)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| Family Practice, Osteopathic Manipulative Medicine | MI | |
| Nurse Practitioner | MI | |
| Internal Medicine | MI | |
| Internal Medicine, Pediatric Medicine, Pediatric Medicine | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Pediatric Medicine, Internal Medicine | MI | |
| Internal Medicine, Hospitalist | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | NV |
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