DR. CORY CLEMENT (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1154736684
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,833 PODIATRY in CA
Provider Addresses for DR. CORY CLEMENT (D.P.M.)
1172 N MACLAY AVE
SAN FERNANDO, CA 913401328
Phone: (818) 898-1388
Fax: (818) 270-9590
Type: Mailing
950 S GRAND AVE
LOS ANGELES, CA 900154202
Phone: (323) 669-4346
Fax: (323) 635-1891
Type: Mailing
4816 E 3RD ST
LOS ANGELES, CA 900221602
Phone: (323) 780-4510
Fax: (323) 780-6132
Type: Location
1600 SAN FERNANDO RD
SAN FERNANDO, CA 913403115
Phone: (818) 365-8086
Fax: (818) 365-6916
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $965.
Total Amount is formed as General ($965) + Research ($0) + Ownership ($0) = $965.
Last reported payment date: 2024-05-17 • Largest payer in this snapshot: Paragon 28, Inc. ($965).
Total Amount
$965
General + Research + Ownership
Payments
4
Total payment records
General Amount
$965
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $965 |
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: 2019-06-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20190612000883 | I | Podiatry | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 91340)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Cardiovascular Disease (Cardiology), Internal Medicine | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA |
Reviews
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