DR. KALI ETHEREDGE (DPM) – Podiatrist, NPI 1063429702
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
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Provider Addresses for DR. KALI ETHEREDGE (DPM)
Prosperity Farms Road, Palm Beach Gardens, Palm Beach County, Florida, 33410, United States
PALM BEACH GARDENS, FL 334103465
Phone: (561) 848-7722
Fax: (561) 848-7812
Type: Mailing
701, Park Avenue, Lake Villa, Lake, Illinois, 60046, United States
LAKE PARK, FL 334032503
Phone: (561) 848-7722
Fax: (561) 848-7812
Type: Location
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 $850.
Total Amount is formed as General ($850) + Research ($0) + Ownership ($0) = $850.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Stryker Corporation ($232).
Total Amount
$850
General + Research + Ownership
Payments
19
Total payment records
General Amount
$850
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $232 |
| Bard Peripheral Vascular, Inc. | $150 |
| Smith+Nephew, Inc. | $144 |
| Kerecis Limited | $110 |
| DJO, LLC | $60 |
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: 2007-09-05
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 |
|---|---|---|---|---|
| I20070905000620 | I | Podiatry | FL | 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 | 236 | 92 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 129 | 15 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 96 | 47 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 78 | 35 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 33 | 19 | $0 |
Insurance plans in this area (ZIP 33410)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | FL | 11042 | Removal of skin and tissue first 20 sq cm or less | 75 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| - | FL | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | FL |
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