ERIC KISKADDON – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1366838815

ERIC KISKADDON is a healthcare provider. based in Dayton, Ohio. specializing in ORTHOPEDIC SURGERY. They hold a License No. 91642 (GA). The NPI Number for ERIC KISKADDON is 1366838815

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ERIC KISKADDON
NPI
1366838815
Phone
Not provided
Address
30 E APPLE ST
Enumeration Date
11 April 2015
Last Update Date
14 November 2022

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
7704248222
Graduation Year
2015 (11 years ago)
PAC ID
3870807662
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20220607002354
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
ekiskaddon492874@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

1,346 ORTHOPEDIC SURGERY in OH

Provider Addresses for ERIC KISKADDON

  • 30 E APPLE ST

    SUITE 2200

    DAYTON, OH 454092939

    Phone:

    Type: Mailing

  • 1360 UPPER HEMBREE RD STE 103

    ROSWELL, GA 300761230

    Phone: (470) 267-0410

    Fax: (770) 999-2710

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,001.

Total Amount is formed as General ($1,001) + Research ($0) + Ownership ($0) = $1,001.

Last reported payment date: 2024-11-10 • Largest payer in this snapshot: Stryker Corporation ($734).

Total Amount

$1,001

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,001

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220607002354IOrthopedic SurgeryGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg41771$0
20610Aspiration and/or injection of fluid from large joint9372$0
73502X-ray of hip, 2-3 views8975$0
99203New patient office or other outpatient visit, 30-44 minutes8080$0
99213Established patient office or other outpatient visit, 20-29 minutes7862$0
View full utilization report →

Insurance plans in this area (ZIP 45409)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Can I cross-check ERIC KISKADDON using NPI 1366838815?
NPI 1366838815 belongs to ERIC KISKADDON; compare other details if you need extra assurance.
Is there an active status for ERIC KISKADDON?
For scheduling context, ERIC KISKADDON is shown as active in the registry.
What kind of doctor is ERIC KISKADDON?
ERIC KISKADDON is associated with Adult Reconstructive Orthopaedic Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ERIC KISKADDON located near Dayton?
ERIC KISKADDON currently maps to Dayton, Ohio in this extract.
Can I trust this NPI listing for ERIC KISKADDON?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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