DR. MOLLY A TATUM (D.O.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1043597404
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,346 ORTHOPEDIC SURGERY in OH
Provider Addresses for DR. MOLLY A TATUM (D.O.)
3205 WOODMAN DR
DAYTON, OH 454201143
Phone: (937) 298-4417
Fax: (937) 298-8260
Type: Mailing
6480 HARRISON AVE STE 201
CINCINNATI, OH 452477961
Phone: (513) 713-1779
Fax: (138) 549-9215
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $15,087.
Total Amount is formed as General ($15,087) + Research ($0) + Ownership ($0) = $15,087.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Vericel Corporation ($10,491).
Total Amount
$15,087
General + Research + Ownership
Payments
20
Total payment records
General Amount
$15,087
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vericel Corporation | $10,491 |
| Miach Orthopaedics, Inc. | $4,334 |
| Smith+Nephew, Inc. | $178 |
| Zimmer Biomet Holdings, Inc. | $27 |
| Integrity Orthopaedics | $22 |
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: 2017-08-23
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 |
|---|---|---|---|---|
| I20170823002482 | I | Orthopedic Surgery | OH | 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 | 538 | 90 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 190 | 128 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 146 | 93 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 83 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 57 | 43 | $0 |
Insurance plans in this area (ZIP 45420)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physical Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physician Assistant | OH | |
| Physical Therapist In Private Practice | OH | |
| Physical Therapist In Private Practice | OH | |
| N E U R O L O G Y | OH |
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