DR. JACOB DANIEL FASSMAN (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1902969090
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 PODIATRY in CO
Provider Addresses for DR. JACOB DANIEL FASSMAN (D.P.M.)
4105 Briargate Pkwy Ste 235
Colorado Springs, CO 809207844
Phone: (719) 475-8080
Fax: (719) 475-0913
Type: Location
220, East Pikes Peak Avenue, Colorado Springs, El Paso County, Colorado, 80903, United States
COLORADO SPRINGS, CO 809033673
Phone: (719) 475-8080
Fax: (719) 475-0913
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $599.
Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Organogenesis Inc. ($252).
Total Amount
$599
General + Research + Ownership
Payments
18
Total payment records
General Amount
$599
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $252 |
| Nevro Corp. | $192 |
| Checkpoint Surgical, Inc | $80 |
| Smith+Nephew, Inc. | $31 |
| Integra LifeSciences Corporation | $22 |
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: 2017-08-30
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 |
|---|---|---|---|---|
| I20170830000910 | 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 | 310 | 187 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 304 | 109 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 186 | 49 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 154 | 98 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 124 | 124 | $0 |
Insurance plans in this area (ZIP 80920)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CO | |
| P O D I A T R Y | CO | |
| P O D I A T R Y | CO | |
| P O D I A T R Y | IN |
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