EBONIE VINCENT (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1457738676
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 EBONIE VINCENT (DPM)
16405 SAND CANYON AVE STE 270
IRVINE, CA 926183792
Phone: (949) 651-1202
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $17,063.
Total Amount is formed as General ($17,063) + Research ($0) + Ownership ($0) = $17,063.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: OSSIO INC ($8,101).
Total Amount
$17,063
General + Research + Ownership
Payments
54
Total payment records
General Amount
$17,063
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| OSSIO INC | $8,101 |
| TREACE MEDICAL CONCEPTS, INC. | $6,668 |
| Ortho Dermatologics, a division of Bausch Health US, LLC | $974 |
| Stryker Corporation | $248 |
| Inari Medical, Inc. | $226 |
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: 2018-05-17
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 |
|---|---|---|---|---|
| I20180517002929 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 210 | 88 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 79 | 46 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 52 | 33 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 45 | 13 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 92618)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | CA |
Reviews
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