DR. ALEXIS TAM MUGNO (DPM) – Podiatrist, NPI 1104480284
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. ALEXIS TAM MUGNO (DPM)
722, Northwest 177th Avenue, Pembroke Pines, Broward County, Florida, 33029, United States
PEMBROKE PINES, FL 330293152
Phone: (904) 866-0280
Type: Mailing
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
MIAMI, FL 331361005
Phone: (904) 866-0280
Type: Location
1611 NW 12th Ave
Miami, FL 331361005
Phone: (904) 866-0280
Type: Location
2627 Riverside Ave Ste 300
Jacksonville, FL 322044717
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
3055 County Road 210 W Ste 110
St Johns, FL 322597001
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
2 Shircliff Way Ste 605
Jacksonville, FL 322044762
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 220
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
1690 US Highway 1 S Ste F
St Augustine, FL 320846024
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
232 Ponte Vedra Park Dr
Ponte Vedra Beach, FL 320826600
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
216 Southpark Cir E Ste 216
St Augustine, FL 320865135
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
15255 Max Legget Pkwy Ste 5300
Jacksonville, FL 322187274
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
10475 Centurion Pkwy N Ste 305
Jacksonville, FL 322565004
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4565 US Highway 17 Ste 200
Fleming Island, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
4565 US HIGHWAY 17 STE 200
FLEMING ISLAND, FL 320034823
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
6800 SOUTHPOINT PKWY STE 300
JACKSONVILLE, FL 322168203
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Mailing
2300 PARK AVE STE 206
ORANGE PARK, FL 320735573
Phone: (904) 634-0640
Fax: (904) 634-0203
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $688.
Total Amount is formed as General ($688) + Research ($0) + Ownership ($0) = $688.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Kerecis Limited ($393).
Total Amount
$688
General + Research + Ownership
Payments
17
Total payment records
General Amount
$688
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $393 |
| Smith+Nephew, Inc. | $78 |
| Aroa Biosurgery Incorporated | $70 |
| BIOTISSUE HOLDINGS INC. | $43 |
| Organogenesis Inc. | $32 |
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: 2022-05-03
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 |
|---|---|---|---|---|
| I20220503001091 | 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 | 831 | 383 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 512 | 300 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 235 | 45 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 168 | 168 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 84 | 17 | $0 |
Insurance plans in this area (ZIP 33029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| C H I R O P R A C T I C | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| - | FL | |
| Orthopedic Surgery | FL |
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