NPI Details
DR. Dale Thomas Landry, M.D. is an orthopaedic surgery in Fort Walton Beach, FL with 17 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Dale Thomas Landry, M.D. NPI is 1518108588. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2009
The provider's business location address is:
1034 MAR WALT DR
SUITE 100
FORT WALTON BEACH, FL
ZIP 32547-639
Phone: (850) 863-2153
Fax: (850) 315-9350
The NPI 1518108588 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
- Therapy procedure using functional activities (HCPCS:97530)
- Therapy procedure in a group setting (HCPCS:97150)
- Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
- X-ray of upper spine, 4-5 views (HCPCS:72050)
- Mri scan of upper spinal canal without contrast (HCPCS:72141)
- Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
- Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS:22853)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Evaluation for physical therapy, typically 45 minutes (HCPCS:97163)
- X-ray of middle spine, 2 views (HCPCS:72070)
- X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Mri scan of middle spinal canal without contrast (HCPCS:72146)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- Application of blood vessel compression device (HCPCS:97016)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS:22552)
- Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- X-ray of hip, 2-3 views (HCPCS:73502)
- X-ray of upper spine, 2-3 views (HCPCS:72040)
- Mri scan of arm joint without contrast (HCPCS:73221)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc (HCPCS:22551)
- Fusion of lower spine bone through abdomen with partial removal of disc (HCPCS:22558)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Fusion of spine bones through front of body with partial removal of disc, each additional disc (HCPCS:22585)
- Placement of stabilizing device to front, 4-7 spine bone segments (HCPCS:22846)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Spinal fusion (HCPCS:NAN02)
The enumeration date for this NPI number is 3/20/2009 and was last updated on 3/7/2023.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207XS0117X | Orthopaedic Surgery | Orthopaedic Surgery of the Spine | ME 123092 | FLORIDA | No |
| 2 | 207X00000X | Orthopaedic Surgery | | ME123092 | FLORIDA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 151CH | OTHER | FLORIDA | BCBS FL |
| 2 | APPLYING ATN 598515 | OTHER | FLORIDA | FL MEDICAID |
| 3 | Z170402 | OTHER | | MEDICARE PTAN |
| 4 | ME123092 | OTHER | FLORIDA | MEDICAL LICENSE |
