DR. KEVIN MATTHEW DERICKSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1396748497
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Loading map...
Provider Addresses for DR. KEVIN MATTHEW DERICKSON (D.P.M.)
PO BOX 21150
BOULDER, CO 803084150
Phone: (033) 551-6953
Fax: (303) 355-1834
Type: Mailing
Capital Medical Boulevard, Tallahassee, Leon County, Florida, 32308, United States
STE 200
TALLAHASSEE, FL 323088419
Phone: (850) 878-8235
Fax: (850) 219-2352
Type: Mailing
2121 S ONEIDA ST STE 270
DENVER, CO 802242551
Phone: (303) 355-1695
Fax: (303) 355-1834
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $739.
Total Amount is formed as General ($739) + Research ($0) + Ownership ($0) = $739.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Organogenesis Inc. ($240).
Total Amount
$739
General + Research + Ownership
Payments
12
Total payment records
General Amount
$739
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $240 |
| TREACE MEDICAL CONCEPTS, INC. | $162 |
| Amgen Inc. | $123 |
| KCI USA, Inc. | $118 |
| Gemini Mountain Medical, LLC | $61 |
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: 2022-11-17
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 |
|---|---|---|---|---|
| I20221117003160 | I | Podiatry | CO | 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 | 139 | 54 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 53 | 13 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 34 | 18 | $0 |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 32 | 28 | $0 |
Insurance plans in this area (ZIP 80308)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| P O D I A T R Y | CO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.