Spectrum Orthopaedics – Orthopaedic Surgery Physician, NPI 1649236142
Orthopaedic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Spectrum Orthopaedics
340 Oxford St Ste 102
Dover, OH 446221965
Phone: (330) 602-3200
Fax: (330) 492-5454
Type: Location
4760 Belpar St NW
Canton, OH 447183603
Phone: (330) 492-9200
Type: Location
1261 Monroe St NW
New Philadelphia, OH 446634139
Phone: (330) 365-1230
Fax: (330) 365-1766
Type: Location
2211 W State St
Alliance, OH 446013528
Phone: (330) 680-8735
Fax: (330) 492-5454
Type: Location
Spectrum Orthopaedics, 7442, Frank Avenue Northwest, North Canton, Jackson Township, Stark County, Ohio, 44720, United States
NORTH CANTON, OH 44720
Phone: (330) 305-0838
Fax: (330) 305-0461
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: 2012-12-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-04-30 (768 days ago).
Enrollment records
2
Earliest due date
2024-04-30
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 |
|---|---|---|---|---|
| O20040708001546 | O | Clinic/Group Practice | OH | 2024-04-30 |
| O20121212000595 | O | Physician - Orthopedic/Orthopedic Surgery | OH | 2026-07-31 |
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 44622)
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