DR. STEPHEN JOHN WAGSTAFF (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1831196849
Foot & Ankle Surgery Podiatrist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,833 PODIATRY in CA
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Provider Addresses for DR. STEPHEN JOHN WAGSTAFF (D.P.M.)
1363, South Eliseo Drive, Skylark, Larkspur, Marin County, California, 94904, United States
STE C
GREENBRAE, CA 949042012
Phone: (415) 925-1150
Fax: (415) 925-1154
Type: Location
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
MILL VALLEY, CA 949420791
Phone: (415) 925-1150
Fax: (415) 925-1154
Type: Mailing
1321 SOUTH ELISEO DRIVE
GREENBRAE, CA 94904
Phone: (415) 925-1150
Fax: (415) 925-1154
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-04-16
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 |
|---|---|---|---|---|
| I20040416001482 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 517 | 215 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 100 | 61 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 81 | 35 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 66 | 36 | $0 |
Insurance plans in this area (ZIP 94904)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | CA | 11056 | Removal of 2 to 4 thickened skin growths | 308 | 152 |
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