Doctor profile · Federal record
Dr. Nolan Renner, PA-C
Surgical Physician Assistant (CMS: Physician Assistant) · Physician Assistant · Fort Walton Beach, FL
- NPI 1174914758
- Accepts Medicare
- 11 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
341 Racetrack RD Nw Ste C
Fort Walton Beach, FL 325471788
(850) 226-8112
fax (850) 362-6068 - Mailing address
-
Po Box 370
Fortson, GA 318080370
Credentials & registration
- NPI registered
- February 2015 — 11 yrs on file
- Profile last updated
- September 10, 2025
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Florida #PA9108565 · Florida #PA 9108565
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174914758. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
223
Distinct HCPCS
8
Medicare allowed
$17,055
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 52 | 52 | $110 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 47 | 44 | $47 | |
73502 |
X-ray of hip, 2-3 views | 27 | 21 | $36 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 24 | 24 | $71 | |
73610 |
X-ray of ankle, minimum of 3 views | 21 | 17 | $29 | |
73552 |
X-ray of thigh bone, minimum 2 views | 20 | 15 | $24 | |
27236 |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement | 16 | 16 | $165 | |
27245 |
Treatment of broken neck of thigh bone with bone implant | 16 | 16 | $170 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 52. This provider delivers 4.3× the peer median.Open Payments
Industry payments received
All-time total
$46
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bioventus LLC | 1 | $46.15 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Nolan Renner's medical specialty?
Dr. Nolan Renner practices Surgical Physician Assistant in Fort Walton Beach, FL.
Where does Dr. Nolan Renner practice?
Dr. Nolan Renner practices at 341 Racetrack RD Nw Ste C, Fort Walton Beach, FL 325471788. Office phone: 8502268112.
What is Dr. Nolan Renner's NPI?
Dr. Nolan Renner's National Provider Identifier (NPI) is 1174914758, issued by NPPES.
Does Dr. Nolan Renner accept Medicare assignment?
Yes. Dr. Nolan Renner accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nolan Renner commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Established patient office or other outpatient visit (HCPCS 99212); X-ray of hip, 2-3 views (HCPCS 73502). Source: CMS Medicare Physician & Other Practitioners file.