DOUGLAS TODD CANNON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1376569210
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
41 PHYSICAL MEDICINE AND REHABILITATION in MS
Provider Addresses for DOUGLAS TODD CANNON (MD)
7545 Airways Blvd
Southaven, MS 386715806
Phone: (901) 759-3100
Type: Location
1211 Union Ave Ste 500
Memphis, TN 381046656
Phone: (901) 759-3100
Type: Location
1458 W Poplar Ave Ste 100
Collierville, TN 380170630
Phone: (901) 759-3100
Type: Location
1400 S Germantown Rd
Germantown, TN 381382205
Phone: (901) 759-3100
Type: Location
1400, South Germantown Road, Germantown, Shelby County, Tennessee, 38138, United States
GERMANTOWN, TN 381382205
Phone: (901) 759-3100
Fax: (901) 759-3196
Type: Mailing
8000, Centerview Parkway, Cordova, Memphis, Shelby County, West Tennessee, Tennessee, 38018, United States
SUITE 500
CORDOVA, TN 380184227
Phone: (901) 759-3100
Fax: (901) 759-3196
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2023-02-02 • Largest payer in this snapshot: Boston Scientific Corporation ($104).
Total Amount
$104
General + Research + Ownership
Payments
1
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $104 |
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: 2014-06-09
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 |
|---|---|---|---|---|
| I20130805000074 | I | Physical Medicine And Rehabilitation | TN | TBD |
| I20140609000241 | I | Physical Medicine And Rehabilitation | MS | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 582 | 329 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 336 | 271 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 301 | 301 | $0 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 191 | 189 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 186 | 148 | $0 |
Insurance plans in this area (ZIP 38671)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | TN | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 56 | 45 |
| PHYSICAL MEDICINE AND REHABILITATIO | TN | 97001 | Physical therapy evaluation | 52 | 51 |
| PHYSICAL MEDICINE AND REHABILITATIO | TN | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 387 | 135 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery, Orthopedic Surgery | TN | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Orthopedic Surgery | TN | |
| Orthopedic Surgery | VA | |
| Physician Assistant | MS | |
| Orthopedic Surgery | TN | |
| Physical Therapist In Private Practice | TN | |
| Orthopedic Surgery | TN |
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