DR. MOHAMMAD ALI KHOSHNEVISAN (M.D., M.B.A.) – Orthopaedic Hand Surgery Physician, NPI 1427445634
Orthopaedic Hand Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for DR. MOHAMMAD ALI KHOSHNEVISAN (M.D., M.B.A.)
111S 11TH ST 2170
PHILADELPHIA, PA 191074824
Phone: (215) 955-6610
Fax: (215) 503-4053
Type: Mailing
1015 CHESTNUT ST STE 620
PHILADELPHIA, PA 191074306
Phone: (215) 955-6864
Fax: (215) 955-2878
Type: Location
1860 TOWN CENTER DR STE 300
RESTON, VA 201905900
Phone: (703) 435-6605
Fax: (703) 662-4506
Type: Location
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 $2,773.
Total Amount is formed as General ($2,773) + Research ($0) + Ownership ($0) = $2,773.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ACUMED LLC ($1,322).
Total Amount
$2,773
General + Research + Ownership
Payments
20
Total payment records
General Amount
$2,773
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $1,322 |
| Supreme Orthopedic Systems, LLC | $713 |
| Integra LifeSciences Corporation | $366 |
| Smith+Nephew, Inc. | $125 |
| Stryker Corporation | $124 |
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: 2022-01-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20210817000180 | I | General Surgery | DC | TBD |
| I20220107001554 | I | General Surgery | VA | 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 | 400 | 76 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 105 | $0 |
| 73110 | X-ray of wrist, minimum of 3 views | 148 | 61 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 146 | 94 | $0 |
| 73130 | X-ray of hand, minimum of 3 views | 146 | 79 | $0 |
Insurance plans in this area (ZIP 19107)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physical Therapist In Private Practice | VA | |
| Physician Assistant | DC | |
| - | VA | |
| Occupational Therapist In Private Practice | MD | |
| Pain Management | VA | |
| Sports Medicine, Orthopedic Surgery, Sports Medicine | VA | |
| Orthopedic Surgery | VA | |
| Occupational Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | VA |
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