SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A. – Orthopaedic Surgery Physician, NPI 1487624771
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SPORTS MEDICINE ASSOCIATES OF SOUTH FLORIDA, P.A.
1608 TOWN CENTER CIR STE A
WESTON, FL 333263639
Phone: (954) 349-2345
Fax: (954) 641-1086
Type: Mailing
1600 Town Center Cir Ste C
Weston, FL 333263641
Phone: (954) 389-5900
Fax: (954) 389-5751
Type: Location
220 SW 84TH AVE STE 102
PLANTATION, FL 333242729
Phone: (954) 720-1530
Fax: (954) 720-6540
Type: Location
Town Center Circle, Weston, Broward County, Florida, 33326, United States
WESTON, FL 333263641
Phone: (954) 389-5900
Fax: (954) 389-5751
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: 2013-12-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20040628000738 | O | Clinic/Group Practice | FL | TBD |
| O20131217000398 | O | Physician - Orthopedic/Orthopedic Surgery | FL | 2023-11-30 |
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 33326)
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