JOHNATHAN R PERRY (MD) – Orthopaedic Surgery Physician, NPI 1467433706
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 JOHNATHAN R PERRY (MD)
6703, West Rio Grande Avenue, Tri-Cities, Benton County, Washington, 99336, United States
KENNEWICK, WA 993362623
Phone: (509) 460-5588
Fax: (509) 783-5438
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $637.
Total Amount is formed as General ($637) + Research ($0) + Ownership ($0) = $637.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Summit Surgical Corp. ($562).
Total Amount
$637
General + Research + Ownership
Payments
3
Total payment records
General Amount
$637
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Summit Surgical Corp. | $562 |
| Stryker Corporation | $56 |
| DePuy Synthes Sales Inc. | $19 |
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: 2004-03-19
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 |
|---|---|---|---|---|
| I20040319001167 | I | Orthopedic Surgery | WA | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,584 | 207 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 463 | 288 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 217 | 173 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 170 | 148 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 127 | 127 | $0 |
Insurance plans in this area (ZIP 99336)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | WA | 73562 | X-ray of knee, 3 views | 39 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery | UT | |
| Physician Assistant | WA | |
| - | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Orthopedic Surgery | WA | |
| Physician Assistant | ID | |
| Physical Therapist In Private Practice | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA |
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