DR. MARK A BIRMINGHAM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1396913117
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 PODIATRY in CO
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Provider Addresses for DR. MARK A BIRMINGHAM (DPM)
Broadway, The Hill, Boulder, Boulder County, Colorado, 80802, United States
BOULDER, CO 803043573
Phone: (303) 440-3036
Fax: (303) 440-3232
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 28 Open Payments records for all available years, with a total value of $1,006.
Total Amount is formed as General ($1,006) + Research ($0) + Ownership ($0) = $1,006.
Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Paragon 28, Inc. ($396).
Total Amount
$1,006
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,006
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $396 |
| DePuy Synthes Sales Inc. | $163 |
| Musculoskeletal Transplant Foundation Inc. | $63 |
| Smith+Nephew, Inc. | $55 |
| Averitas Pharma Inc. | $50 |
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: 2014-01-28
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 |
|---|---|---|---|---|
| I20140128000506 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 346 | 225 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 319 | 153 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 240 | 99 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 150 | 150 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 86 | 34 | $0 |
Insurance plans in this area (ZIP 80304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | CO | |
| Family Practice | WA | |
| - | CO | |
| Family Practice | CO | |
| Pediatric Medicine, Gastroenterology | CO | |
| Internal Medicine | CO | |
| G A S T R O E N T E R O L O G Y | CO | |
| - | AZ | |
| Family Practice | CO | |
| Physician Assistant | CO |
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