MICHAEL SAUL KHAZZAM (MD) – Orthopaedic Surgery Physician, NPI 1093821902
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,187 ORTHOPEDIC SURGERY in TX
Provider Addresses for MICHAEL SAUL KHAZZAM (MD)
1631 LANCASTER DR STE 230
GRAPEVINE, TX 760513586
Phone: (469) 800-7200
Fax: (469) 800-7210
Type: Location
P.O. BOX 845347
DALLAS, TX 752845347
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Mailing
University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States
DALLAS, TX 753907208
Phone: (214) 645-0624
Fax: (214) 645-0078
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $132,848.
Total Amount is formed as General ($132,848) + Research ($0) + Ownership ($0) = $132,848.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Stryker Corporation ($132,790).
Total Amount
$132,848
General + Research + Ownership
Payments
52
Total payment records
General Amount
$132,848
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $132,790 |
| DePuy Synthes Sales Inc. | $34 |
| Endo Pharmaceuticals Inc. | $24 |
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: 2011-10-07
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 |
|---|---|---|---|---|
| I20111007000379 | I | Orthopedic Surgery | TX | 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 | 763 | 419 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 90 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 88 | 88 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 75 | 74 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 56 | 11 | $0 |
Insurance plans in this area (ZIP 76051)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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