George Damon Gantsoudes, MD
NPI 1013173004ActiveIndividual· Orthopaedic Surgery, Pediatric Orthopaedic Surgery· Fairfax, VA
Orthopaedic Surgery, Pediatric Orthopaedic Surgery (MD) in Fairfax, Virginia, trained at University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) (class of 2004). Enrolled in Medicare as practitioner - general surgery and practitioner - orthopedic surgery. Supreme Orthopedic Systems, LLC reported $168.49 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1013173004 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 30, 2008 |
| Last updated in NPPES | Oct 14, 2026 |
| Certified by provider | Oct 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery Primary | 207XP3100X | 0101257854 | VA |
| Orthopaedic Surgery | 207X00000X | 0101257854 | VA |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 207XP3100X | MD043693 | DC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (DC); Practitioner - Orthopedic Surgery (MA); Practitioner - Orthopedic Surgery (VA) |
|---|
Education and affiliations
| Medical school | University of Illinois College of Med (Chi/Peor/Rock/Chm-Urb) |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Braxton County Memorial HospitalGassaway, WV · 47 clinicians
Industry payments (Open Payments)
- 2024$168.49 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Supreme Orthopedic Systems, LLC | $168.49 | 2 |
What the 2024 payments were for
- Food and Beverage$168.49 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Orthopaedic Surgery, Pediatric Orthopaedic Surgery providers in Fairfax
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