MAX E OTS (MD) – Neurological Surgery Physician, NPI 1669498093
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
156 NEUROSURGERY in WI
Provider Addresses for MAX E OTS (MD)
Green Bay, Broadway, Queens, New York, 11373, United States
GREEN BAY, WI 543032728
Phone:
Type: Mailing
2845 GREENBRIER RD
GREEN BAY, WI 543116519
Phone: (920) 288-8350
Fax: (920) 288-8355
Type: Location
1035 KEPLER DR
GREEN BAY, WI 543118320
Phone: (920) 490-9046
Fax: (920) 405-8005
Type: Mailing
2845 GREENBRIER RD STE 330
GREEN BAY, WI 543116519
Phone: (920) 288-8350
Fax: (920) 288-8355
Type: Location
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 $117.
Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($62).
Total Amount
$117
General + Research + Ownership
Payments
3
Total payment records
General Amount
$117
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Providence Medical Technology, Inc. | $62 |
| Biocomposites Inc | $35 |
| Orthofix Medical, Inc. | $20 |
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: 2010-11-23
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 |
|---|---|---|---|---|
| I20041113000178 | I | Neurosurgery | WI | TBD |
| I20101123000651 | I | Neurosurgery | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 29 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 21 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
| 61783 | Computer-assisted spinal procedure | 17 | 17 | $0 |
Insurance plans in this area (ZIP 54303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NEUROSURGERY | WI | 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | WI | |
| O P T O M E T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine | WI | |
| Plastic And Reconstructive Surgery | WI | |
| Physician Assistant | WI | |
| O P H T H A L M O L O G Y | WI | |
| Diagnostic Radiology | WI |
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