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Colton Fernstrum

NPI 1720661440ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· Jackson, MS

Surgery, Plastic and Reconstructive Surgery in Jackson, Mississippi, licensed in MS, with an NPI issued in April 2021. Part D covered 56 prescriptions written in 2024, 96% of them generic. Revance Therapeutics, Inc. was the largest of 7 companies reporting payments in 2025, $1,087 in all, mostly food and beverage.

Overview

NPI1720661440
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedApr 30, 2021
Last updated in NPPESJul 1, 2021
Certified by providerJul 1, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Surgery, Plastic and Reconstructive Surgery Primary2086S0122XT-4271MS

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)56 · 56 30-day fills
Patients25
Total drug cost$560.99
Generic share96% of claims

Medicare sources and data years

Industry payments (Open Payments)

  • 2025$1,087 · 10 payments from 7 companies
  • 2024$1,839 · 23 payments from 11 companies

Top paying companies in 2025

CompanyAmountPayments
Revance Therapeutics, Inc.$255.892
Davol Inc.$240.002
Rti Surgical, Inc$215.001
Kls-Martin L.P.$171.171
Bioventus LLC$126.611

What the 2025 payments were for

  • Food and Beverage$1,087 · 10 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Surgery, Plastic and Reconstructive Surgery providers in Jackson

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