DR. FOTIS G MYSTAKAS (M.D.) – Orthopaedic Surgery Physician, NPI 1114993334
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. FOTIS G MYSTAKAS (M.D.)
3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States
YORK, PA 174029001
Phone: (717) 272-7971
Fax: (717) 272-1241
Type: Mailing
912, Russell Drive, Hauckville, North Cornwall Township, Lebanon County, Pennsylvania, 17042, United States
LEBANON, PA 170427485
Phone: (717) 272-7971
Fax: (717) 272-1241
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-02-23
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 |
|---|---|---|---|---|
| I20100223000007 | I | Orthopedic Surgery | PA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 17402)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 419 | 141 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | SC | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | PA |
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