360 Orthopedics – Orthopaedic Surgery Physician, NPI 1013976422
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for 360 Orthopedics
5741 BEE RIDGE RD STE 400
SARASOTA, FL 342335062
Phone: (941) 951-2663
Fax: (941) 957-4437
Type: Mailing
5741 Bee Ridge Rd Ste 450
Sarasota, FL 342335081
Phone: (941) 951-2663
Fax: (941) 957-4437
Type: Location
5985 Silver Falls Run Ste 100
Bradenton, FL 342111291
Phone: (941) 552-3318
Type: Location
5504 PINEBROOK RD STE 201
NOKOMIS, FL 342753745
Phone: (941) 552-3318
Type: Location
2750, Bahia Vista Street, Sarasota, Sarasota County, Florida, 34239, United States
SUITE 100
SARASOTA, FL 342392640
Phone: (941) 951-2663
Fax: (941) 957-4437
Type: Mailing
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: 2004-04-27
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 |
|---|---|---|---|---|
| O20040427000792 | O | Clinic/Group Practice | FL | 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 34233)
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