JONATHAN ALLRED OLSON – Orthopaedic Surgery Physician, NPI 1417318171
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 JONATHAN ALLRED OLSON
405 W Grand Ave
Dayton, OH 454057538
Phone: (937) 723-4188
Type: Location
1218 Bond Ave
Rexburg, ID 834403503
Phone: (208) 522-3355
Fax: (208) 522-6019
Type: Location
Henry Ford Macomb Hospital, 15855, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States
CLINTON TOWNSHIP, MI 480383504
Phone: (586) 263-2973
Type: Mailing
2210 CORONADO ST
IDAHO FALLS, ID 834047552
Phone: (208) 522-3355
Fax: (208) 522-6019
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $3,424.
Total Amount is formed as General ($3,424) + Research ($0) + Ownership ($0) = $3,424.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Active Medical, LLC ($2,914).
Total Amount
$3,424
General + Research + Ownership
Payments
26
Total payment records
General Amount
$3,424
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Active Medical, LLC | $2,914 |
| Stryker Corporation | $176 |
| Endo Pharmaceuticals Inc. | $139 |
| Arthrex, Inc. | $133 |
| Boston Scientific Corporation | $26 |
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: 2022-07-13
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 |
|---|---|---|---|---|
| I20220713001634 | I | Orthopedic Surgery | ID | 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 |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 119 | 53 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 58 | 45 | $0 |
| 20600 | Aspiration and/or injection of fluid from small joint | 44 | 27 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 45405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Orthopedic Surgery | KY | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Physician Assistant | MN |
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