DR. WADE TYLER CHIMEROFSKY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1174018287

DR. WADE TYLER CHIMEROFSKY (DPM) is a healthcare provider. based in Thousand oaks, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5884 (CA). The NPI Number for DR. WADE TYLER CHIMEROFSKY (DPM) is 1174018287

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. WADE TYLER CHIMEROFSKY (DPM)
NPI
1174018287
Phone
(805) 496-2383
Address
425 HAALAND DR STE 201
Enumeration Date
30 June 2018
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
4981939980
Group Practice PAC ID
3870030141
Professional Enrollment ID
I20240130000889
Address ID
CA902111767Be250XXBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

Provider Addresses for DR. WADE TYLER CHIMEROFSKY (DPM)

  • 425 HAALAND DR STE 201

    THOUSAND OAKS, CA 913615231

    Phone: (805) 496-2383

    Type: Mailing

  • Yale New Haven Hospital, 20, York Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    NEW HAVEN, CT 065103220

    Phone: (203) 688-4242

    Type: Mailing

  • 950 Campbell Ave

    West Haven, CT 065162770

    Phone: (630) 818-6150

    Type: Location

  • 20 York St

    New Haven, CT 06510

    Phone: (203) 688-4242

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $2,788.

Total Amount is formed as General ($2,788) + Research ($0) + Ownership ($0) = $2,788.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($652).

Total Amount

$2,788

General + Research + Ownership

Payments

52

Total payment records

General Amount

$2,788

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240130000889IPodiatryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 91361)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870030141View full group profile
NameSpecialtyState
Physician AssistantFL
P O D I A T R YWA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Can I cross-check DR. WADE TYLER CHIMEROFSKY (DPM) using NPI 1174018287?
NPI 1174018287 belongs to DR. WADE TYLER CHIMEROFSKY (DPM); compare other details if you need extra assurance.
Is there an active status for DR. WADE TYLER CHIMEROFSKY (DPM)?
For scheduling context, DR. WADE TYLER CHIMEROFSKY (DPM) is shown as active in the registry.
How would a patient describe DR. WADE TYLER CHIMEROFSKY (DPM)'s focus?
For DR. WADE TYLER CHIMEROFSKY (DPM), the primary taxonomy reads as Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WADE TYLER CHIMEROFSKY (DPM)?
Directory geography for DR. WADE TYLER CHIMEROFSKY (DPM) centers on Thousand Oaks, California.
When was this NPI issued?
Enumeration for DR. WADE TYLER CHIMEROFSKY (DPM) is noted as June 30, 2018 where the registry provides it.

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