JOHN ANDREW YOUNGHEIN (MD) – Orthopaedic Surgery Physician, NPI 1700204492
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
182 ORTHOPEDIC SURGERY in RI
Provider Addresses for JOHN ANDREW YOUNGHEIN (MD)
PO BOX 1119
PROVIDENCE, RI 029011119
Phone:
Type: Mailing
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 029145375
Phone: (401) 330-1476
Type: Location
92 MONTVALE AVE STE 1400
STONEHAM, MA 021803629
Phone: (781) 279-7040
Fax: (781) 279-8430
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $24,632.
Total Amount is formed as General ($24,632) + Research ($0) + Ownership ($0) = $24,632.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Spineart USA Inc ($8,787).
Total Amount
$24,632
General + Research + Ownership
Payments
75
Total payment records
General Amount
$24,632
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Spineart USA Inc | $8,787 |
| Alphatec Spine, Inc | $6,694 |
| Kuros Biosciences USA, Inc | $6,316 |
| Arthrex, Inc. | $581 |
| Kairos Surgical Inc | $493 |
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: 2020-09-29
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 |
|---|---|---|---|---|
| I20200929001584 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 132 | 97 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 114 | 93 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 37 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 02901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | MA | |
| Orthopedic Surgery | MA | |
| Orthopedic Surgery | MA | |
| Physical Therapist In Private Practice | MA | |
| Occupational Therapist In Private Practice | MA | |
| Physician Assistant | NY | |
| Physical Therapist In Private Practice | MA | |
| Nurse Practitioner | MA | |
| Occupational Therapist In Private Practice | PA | |
| Physician Assistant | MA |
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