KATIE NEIDECKER (DPM) – Podiatrist, NPI 1619331931

KATIE NEIDECKER (DPM) is a healthcare provider. based in Castle pines, Colorado. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD.0000842 (CO). The NPI Number for KATIE NEIDECKER (DPM) is 1619331931

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATIE NEIDECKER (DPM)
NPI
1619331931
Phone
(303) 805-5156
Address
7505 VILLAGE SQUARE DR STE 101
Enumeration Date
12 April 2016
Last Update Date
11 July 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3038055156
Graduation Year
2016 (10 years ago)
PAC ID
1658665641
Group Practice PAC ID
3274509393
Professional Enrollment ID
I20191022000962
Address ID
CO801083693CA7505XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

257 PODIATRY in CO

Provider Addresses for KATIE NEIDECKER (DPM)

  • 7505 VILLAGE SQUARE DR STE 101

    CASTLE PINES, CO 801083693

    Phone: (303) 805-5156

    Fax: (303) 805-5157

    Type: Location

  • 3733 PARK EAST DR STE 240

    BEACHWOOD, OH 441224337

    Phone: (216) 245-1290

    Fax: (866) 571-4884

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-08-23 • Largest payer in this snapshot: DJO, LLC ($34).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DJO, LLC$34
Stryker Corporation$19
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: 2019-10-22

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
I20191022000962IPodiatryCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails11261$0
99213Established patient office or other outpatient visit, 20-29 minutes8356$0
11042Removal of skin and tissue, 20.0 sq cm or less7228$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6534$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
View full utilization report →

Insurance plans in this area (ZIP 80108)

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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: 3274509393View full group profile
NameSpecialtyState
P O D I A T R YCO
-CO
P O D I A T R YCO
P O D I A T R YCO
Physical Therapist In Private PracticeID
P O D I A T R YCO
P O D I A T R YCO
P O D I A T R YCO
Physical Therapist In Private PracticeCO
P O D I A T R YCO

Reviews

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Frequently asked questions

What identifier follows KATIE NEIDECKER (DPM) across health systems?
The NPI 1619331931 uniquely identifies KATIE NEIDECKER (DPM) in U.S. healthcare data.
Quick check: is KATIE NEIDECKER (DPM) active?
Public NPPES data shows KATIE NEIDECKER (DPM) with an active NPI status right now.
How should patients interpret KATIE NEIDECKER (DPM)'s specialty?
The extract shows Podiatrist for KATIE NEIDECKER (DPM). Clinical services aligned with this taxonomy classification.
Is KATIE NEIDECKER (DPM) tied to Castle Pines, Colorado?
If you are local to Castle Pines, Colorado, KATIE NEIDECKER (DPM) may be relevant to your search.
Why is information missing for KATIE NEIDECKER (DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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