DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1184809253

DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) is a healthcare provider. based in Norwalk, Connecticut. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 000875 (CT). The NPI Number for DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) is 1184809253

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARISA KIM DEMATTEO-SANTA (D.P.M.)
NPI
1184809253
Phone
(203) 838-0442
Address
488 MAIN AVE
Enumeration Date
8 January 2008
Last Update Date
4 April 2018

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2038746755
Graduation Year
2005 (21 years ago)
PAC ID
6709935869
Group Practice PAC ID
8123118056
Professional Enrollment ID
I20110727000198
Address ID
CT064603429MI32XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

266 PODIATRY in CT

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Provider Addresses for DR. MARISA KIM DEMATTEO-SANTA (D.P.M.)

  • 488, Main Avenue, Winnipauk, Norwalk, Fairfield County, Connecticut, 06851, United States

    NORWALK, CT 068511008

    Phone: (203) 838-0442

    Fax: (203) 838-9431

    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 19 Open Payments records for all available years, with a total value of $440.

Total Amount is formed as General ($440) + Research ($0) + Ownership ($0) = $440.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($135).

Total Amount

$440

General + Research + Ownership

Payments

19

Total payment records

General Amount

$440

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

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: 2011-07-27

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
I20110727000198IPodiatryCTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes584242$0
11721Removal of fingernails or toenails, 6 or more nails457137$0
11056Removal of noncancer thickened skin growth, 2-4 growths32794$0
G0127Trimming of dystrophic nails, any number22362$0
11720Removal of fingernails or toenails, 1-5 nails18858$0
View full utilization report →

Insurance plans in this area (ZIP 06851)

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Provider's Procedures

DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYCT11056Removal of 2 to 4 thickened skin growths20584
PODIATRYCT73630X-ray of foot, minimum of 3 views4134

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: 8123118056View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) in U.S. healthcare records?
The official identifier for DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) is NPI 1184809253.
Is DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) still an active registrant?
DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. MARISA KIM DEMATTEO-SANTA (D.P.M.)?
DR. MARISA KIM DEMATTEO-SANTA (D.P.M.)'s specialty line reads Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) located near Norwalk?
DR. MARISA KIM DEMATTEO-SANTA (D.P.M.) currently maps to Norwalk, Connecticut in this extract.
Can I trust this NPI listing for DR. MARISA KIM DEMATTEO-SANTA (D.P.M.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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