ANDREW CHARLES OCKULY (DO) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1245646983
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 ORTHOPEDIC SURGERY in MN
Provider Addresses for ANDREW CHARLES OCKULY (DO)
1701 CURVE CREST BLVD W STE 104
STILLWATER, MN 550826181
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Mailing
3500 AMERICAN BLVD W STE 300
BLOOMINGTON, MN 554314442
Phone: (952) 512-5600
Type: Mailing
3545 HIGHWAY 61 N
VADNAIS HEIGHTS, MN 551105223
Phone: (651) 439-8807
Fax: (651) 439-0232
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $796.
Total Amount is formed as General ($796) + Research ($0) + Ownership ($0) = $796.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($504).
Total Amount
$796
General + Research + Ownership
Payments
8
Total payment records
General Amount
$796
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $504 |
| Zimmer Biomet Holdings, Inc. | $229 |
| Orthofix Medical, Inc. | $34 |
| Stryker Corporation | $29 |
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: 2019-07-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20190722003050 | I | Orthopedic Surgery | MN | TBD |
| I20190729003581 | I | Orthopedic Surgery | WI | 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 | 409 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 86 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 95 | 70 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 54 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 43 | 39 | $0 |
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| - | MN | |
| Orthopedic Surgery | MN | |
| - | MN | |
| Physical Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | TX |
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