DR. EFSTRATIOS DEMETRIOS LAGOUTARIS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1194717595
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. EFSTRATIOS DEMETRIOS LAGOUTARIS (DPM)
1361, 13th Avenue South, Oceanside Park, Jacksonville Beach, Duval County, Florida, 32250, United States
STE 12
JACKSONVILLE BEACH, FL 32250
Phone: (904) 241-2655
Fax: (904) 249-2425
Type: Location
12, Kingsley Avenue, Orange Park, Clay County, Florida, 32073, United States
ORANGE PARK, FL 320735129
Phone: (904) 224-2001
Fax: (904) 224-2002
Type: Mailing
5911 TIMUQUANA RD UNIT 300
JACKSONVILLE, FL 322107897
Phone: (904) 251-5053
Fax: (904) 224-2002
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2004-02-26
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 |
|---|---|---|---|---|
| I20040226000326 | 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 | 189 | 142 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 130 | 88 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 87 | 62 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 82 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 71 | 71 | $0 |
Insurance plans in this area (ZIP 32250)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| P O D I A T R Y | MA | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL |
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