DR. KURTIS DAVID CARLOCK (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1245791458
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
779 ORTHOPEDIC SURGERY in WA
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Provider Addresses for DR. KURTIS DAVID CARLOCK (MD)
1959 NE PACIFIC ST BOX 356500
SEATTLE, WA 981956500
Phone: (703) 678-9994
Type: Mailing
1715 NORTH GEORGE MASON DRIVE
MEDICAL OFFICES D, SUITE 504
ARLINGTON, VA 22205
Phone: (703) 525-2200
Type: Mailing
Harborview Medical Center, 325, 9th Avenue, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States
SEATTLE, WA 981042420
Phone: (703) 678-9994
Type: Location
1715 NORTH GEORGE MASON DR
MEDICAL OFFICES D, SUITE 504
ARLINGTON, VA 22205
Phone: (703) 525-2200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $6,650.
Total Amount is formed as General ($6,650) + Research ($0) + Ownership ($0) = $6,650.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($4,191).
Total Amount
$6,650
General + Research + Ownership
Payments
17
Total payment records
General Amount
$6,650
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $4,191 |
| Stryker Corporation | $1,854 |
| Zimmer Biomet Holdings, Inc. | $573 |
| DePuy Synthes Sales Inc. | $32 |
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: 2025-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20240411000233 | I | Orthopedic Surgery | IN | TBD |
| I20240529000577 | I | Orthopedic Surgery | IL | TBD |
| I20250922002392 | I | Orthopedic Surgery | DC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98195)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery, Sports Medicine | VA | |
| Physical Therapist In Private Practice | VA | |
| - | VA | |
| Physical Therapist In Private Practice | VA | |
| Orthopedic Surgery, Sports Medicine | TN | |
| Physician Assistant | VA | |
| Physical Therapist In Private Practice | VA | |
| Physical Therapist In Private Practice | MD | |
| Orthopedic Surgery, Physical Medicine And Rehabilitation | VA | |
| Orthopedic Surgery | CT |
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