RUSSELL DEGROOTE MD PC – Orthopaedic Surgery Physician, NPI 1033278155
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RUSSELL DEGROOTE MD PC
7559 N. Tongass Ave
Ketchikan, AK 999019182
Phone: (907) 247-9999
Fax: (206) 339-1460
Type: Location
7559 N. TONGASS AVE
KETCHIKAN, AK 999019182
Phone: (907) 247-9999
Fax: (206) 339-1460
Type: Location
PO BOX 1099
WARD COVE, AK 999281099
Phone: (907) 247-9999
Type: Mailing
25 JEFFERSON WAY STE 101
KETCHIKAN, AK 999015953
Phone: (907) 247-9999
Type: Location
Tongass Avenue, Ketchikan, Ketchikan Gateway, Alaska, 99901, United States
KETCHIKAN, AK 999016072
Phone: (907) 247-9999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-04-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-05-31 (10 days ago).
Enrollment records
1
Earliest due date
2026-05-31
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 |
|---|---|---|---|---|
| O20200403002768 | O | Clinic/Group Practice | AK | 2026-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 99901)
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