DR. AMAR BASAVARAJ MUTNAL (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1790999415
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. AMAR BASAVARAJ MUTNAL (M.D.)
5319 HOAG DR STE 210C
SHEFFIELD VILLAGE, OH 440351494
Phone: (419) 626-6161
Fax: (419) 502-3537
Type: Location
PO BOX 378
SANDUSKY, OH 448710378
Phone: (419) 609-1112
Fax: (419) 502-3537
Type: Mailing
5319 HOAG DR STE 240
SHEFFIELD VILLAGE, OH 440351493
Phone: (419) 626-6161
Fax: (419) 502-3537
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $2,310.
Total Amount is formed as General ($2,310) + Research ($0) + Ownership ($0) = $2,310.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: ACUMED LLC ($1,178).
Total Amount
$2,310
General + Research + Ownership
Payments
16
Total payment records
General Amount
$2,310
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $1,178 |
| restor3d, inc. | $400 |
| Davol Inc. | $233 |
| Zimmer Biomet Holdings, Inc. | $199 |
| BIOTISSUE HOLDINGS INC. | $186 |
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: 2015-07-02
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 |
|---|---|---|---|---|
| I20150702001755 | 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 | 91 | 14 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 25 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 20 | 15 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 44035)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OH | 20610 | Aspiration and/or injection of large joint or joint capsule | 38 | 30 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OH | |
| Nurse Practitioner | OH | |
| D E R M A T O L O G Y | OH | |
| Physician Assistant | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Vascular Surgery, Cardiovascular Disease (Cardiology) | AZ | |
| Internal Medicine, Emergency Medicine, Cardiovascular Disease (Cardiology) | PA | |
| - | OH |
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