DES MOINES ORTHOPAEDIC SURGEONS PC – Orthopaedic Surgery Physician, NPI 1255405221
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DES MOINES ORTHOPAEDIC SURGEONS PC
1711 SW Plaza Pkwy
Ankeny, IA 500237325
Phone: (515) 224-1414
Fax: (515) 224-5140
Type: Location
1301 Pennsylvania Ave Ste 213
Des Moines, IA 503162365
Phone: (515) 224-1414
Fax: (515) 224-5410
Type: Location
350 NE 36th St
Ankeny, IA 500216728
Phone: (515) 224-1414
Fax: (515) 224-5140
Type: Location
4850 100th St
Urbandale, IA 503227212
Phone: (515) 224-1414
Fax: (515) 224-5140
Type: Location
Des Moines Orthopaedic Surgeons, 6001, Westown Parkway, West Lakes Office Park, West Des Moines, Dallas County, Iowa, 50266, United States
WEST DES MOINES, IA 502667719
Phone: (515) 224-1414
Fax: (515) 224-5140
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: 2014-03-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (710 days ago).
Enrollment records
2
Earliest due date
2024-06-30
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 |
|---|---|---|---|---|
| O20040119000163 | O | Clinic/Group Practice | IA | 2024-06-30 |
| O20140304000238 | O | Physician - Orthopedic/Orthopedic Surgery | IA | 2025-10-31 |
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 50023)
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