Unknown Individual – Orthopaedic Surgery Physician, NPI 1861497117
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 2546
JOPLIN, MO 648032546
Phone: (620) 783-4441
Fax: (620) 783-4090
Type: Mailing
Ortho Four States, 444, Four States Drive, East Galena, Galena, Cherokee County, Kansas, 66739, United States
SUITE 1
GALENA, KS 667394324
Phone: (620) 783-4441
Fax: (620) 783-4090
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $1,021.
Total Amount is formed as General ($1,021) + Research ($0) + Ownership ($0) = $1,021.
Last reported payment date: 2023-12-04 • Largest payer in this snapshot: Titan Surgical Group, Llc ($685).
Total Amount
$1,021
General + Research + Ownership
Payments
11
Total payment records
General Amount
$1,021
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Titan Surgical Group, Llc | $685 |
| Arthrex, Inc. | $304 |
| Bioventus LLC | $17 |
| Kowa Pharmaceuticals America, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 424 | 122 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 200 | 146 | $0 |
| 73562 | X-ray of knee, 3 views | 186 | 128 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 161 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 153 | 131 | $0 |
Insurance plans in this area (ZIP 64803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | KS | 20610 | Aspiration and/or injection of large joint or joint capsule | 237 | 191 |
| ORTHOPEDIC SURGERY | KS | 27447 | Repair of knee joint | 46 | 44 |
| ORTHOPEDIC SURGERY | KS | 73110 | X-ray of wrist, minimum of 3 views | 30 | 25 |
| ORTHOPEDIC SURGERY | KS | 73562 | X-ray of knee, 3 views | 190 | 150 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease, Internal Medicine | MO | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists) | IN | |
| Physician Assistant | IL | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Vascular Surgery | ID | |
| - | MO | |
| Orthopedic Surgery | KS | |
| N E U R O L O G Y | MO | |
| - | MO |
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