BRADLEY T BUTKOVICH (MD) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1154372712
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in VA
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Provider Addresses for BRADLEY T BUTKOVICH (MD)
230, Clearfield Avenue, Boulevard Manor, Virginia Beach, Virginia, 23462, United States
SUITE 124
VIRGINIA BEACH, VA 234621832
Phone: (757) 321-3383
Fax: (757) 321-3332
Type: Mailing
Secep Administrative Offices, 6160, Kempsville Circle, Glen Rock, Janaf, Norfolk, Virginia, 23502, United States
SUITE 200B
NORFOLK, VA 235023933
Phone: (757) 321-3383
Fax: (757) 321-3332
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $527.
Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Miach Orthopaedics, Inc. ($198).
Total Amount
$527
General + Research + Ownership
Payments
9
Total payment records
General Amount
$527
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 |
|---|---|
| Miach Orthopaedics, Inc. | $198 |
| Teleflex LLC | $133 |
| Zimmer Biomet Holdings, Inc. | $99 |
| Fidia Pharma USA Inc. | $55 |
| Bioventus LLC | $21 |
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: 2005-06-28
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 |
|---|---|---|---|---|
| I20050628001419 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 3,360 | 36 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 1,628 | 228 | $0 |
| J7322 | Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg | 1,053 | 14 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 376 | 206 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 277 | 193 | $0 |
Insurance plans in this area (ZIP 23462)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | VA | 27447 | Repair of knee joint | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Hand Surgery, Orthopedic Surgery | VA | |
| Physician Assistant | VA | |
| Orthopedic Surgery | IA | |
| Hand Surgery, Orthopedic Surgery | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Physician Assistant | NJ | |
| - | VA |
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