DR. ETHAN KELLUM (MD) – Orthopaedic Surgery Physician, NPI 1396907705
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
161 SPORTS MEDICINE in TN
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Provider Addresses for DR. ETHAN KELLUM (MD)
1410, Reliance Drive, Franklin, Williamson County, Tennessee, 37067, United States
FRANKLIN, TN 370671793
Phone: (901) 484-0837
Type: Mailing
125, Cool Springs Boulevard, Franklin, Williamson County, Tennessee, 37067, United States
SUITE 240
FRANKLIN, TN 370676474
Phone: (901) 484-0837
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $138.
Total Amount is formed as General ($138) + Research ($0) + Ownership ($0) = $138.
Last reported payment date: 2024-10-18 • Largest payer in this snapshot: Onkos Surgical, Inc. ($125).
Total Amount
$138
General + Research + Ownership
Payments
2
Total payment records
General Amount
$138
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Onkos Surgical, Inc. | $125 |
| ABBVIE INC. | $13 |
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: 2025-04-02
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 |
|---|---|---|---|---|
| I20161205000206 | I | Orthopedic Surgery | TN | TBD |
| I20250402002599 | I | Orthopedic Surgery | AL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 257 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 17 | $0 |
| 76881 | Complete ultrasound scan of joint | 19 | 14 | $0 |
Insurance plans in this area (ZIP 37067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | TN | 20610 | Aspiration and/or injection of large joint or joint capsule | 65 | 52 |
| ORTHOPEDIC SURGERY | TN | 73110 | X-ray of wrist, minimum of 3 views | 21 | 13 |
| ORTHOPEDIC SURGERY | TN | 73562 | X-ray of knee, 3 views | 40 | 34 |
| ORTHOPEDIC SURGERY | TN | 73630 | X-ray of foot, minimum of 3 views | 14 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TN |
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