ALASKA FRACTURE AND ORTHOPEDIC CLINIC – Orthopaedic Surgery Physician, NPI 1285677054
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALASKA FRACTURE AND ORTHOPEDIC CLINIC
1507 N Double B St Ste 2
Palmer, AK 996455917
Phone: (907) 563-3145
Fax: (833) 464-5196
Type: Location
3122 E Meridian Park Loop
Wasilla, AK 996547255
Phone: (907) 563-3145
Fax: (907) 563-3145
Type: Location
17025 Snowmobile Ln Ste 102
Eagle River, AK 995777044
Phone: (907) 563-3145
Fax: (907) 561-3967
Type: Location
3831 Piper St
Suite S-220
Anchorage, AK 995084672
Phone: (907) 563-3145
Fax: (907) 561-3967
Type: Location
12350 Industry Way Ste 110
Anchorage, AK 995154301
Phone: (907) 563-3145
Fax: (907) 563-3145
Type: Location
3831, Piper Street, Anchorage, Alaska, 99508, United States
SUITE S-220
ANCHORAGE, AK 995084672
Phone: (907) 563-3145
Fax: (907) 561-3967
Type: Mailing
4100 LAKE OTIS PKWY STE 108
ANCHORAGE, AK 995085230
Phone: (907) 563-3145
Fax: (907) 561-3967
Type: Mailing
4100 LAKE OTIS PKWY STE 220
ANCHORAGE, AK 995085230
Phone: (907) 563-3145
Fax: (907) 561-3967
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (955 days ago).
Enrollment records
2
Earliest due date
2023-10-31
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 |
|---|---|---|---|---|
| O20050405001438 | O | Clinic/Group Practice | AK | TBD |
| O20100930067931 | O | Physician - General Practice | AK | 2023-10-31 |
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 99645)
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