Tallahassee Orthopedic Clinic – Durable Medical Equipment & Medical Supplies, NPI 1902034317
Durable Medical Equipment & Medical Supplies
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Tallahassee Orthopedic Clinic
2011 HARRISON AVE
PANAMA CITY, FL 324054545
Phone: (850) 691-4188
Fax: (833) 687-1451
Type: Location
Tallahassee Orthopedic Center, 3334, Capital Medical Boulevard, Tallahassee, Leon County, Florida, 32308-8405, United States
SUITE 400
TALLAHASSEE, FL 323088405
Phone: (850) 877-8174
Fax: (850) 877-5636
Type: Mailing
235, Southwest Dade Street, Madison, Madison County, Florida, 32340, United States
SUITE 1
MADISON, FL 323402363
Phone: (850) 877-8174
Fax: (850) 877-5636
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: 2024-03-05
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 |
|---|---|---|---|---|
| O20240305000201 | O | Physician - Orthopedic/Orthopedic Surgery | 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 32405)
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