DR. MARIE WONKYONG SHIN (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1275824971
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,444 PODIATRY in FL
Provider Addresses for DR. MARIE WONKYONG SHIN (DPM)
2261 N UNIVERSITY DR
SUITE 200
PEMBROKE PINES, FL 330243623
Phone: (954) 987-4991
Fax: (954) 987-4922
Type: Mailing
12665 GARDEN GROVE BLVD STE 203
GARDEN GROVE, CA 928431916
Phone: (714) 620-4699
Fax: (888) 866-7055
Type: Mailing
4816 E 3rd St
Los Angeles, CA 900221602
Phone: (323) 780-4510
Fax: (323) 669-4346
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $255.
Total Amount is formed as General ($255) + Research ($0) + Ownership ($0) = $255.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($230).
Total Amount
$255
General + Research + Ownership
Payments
3
Total payment records
General Amount
$255
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $230 |
| Hologic Sales and Service, LLC | $25 |
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: 2021-01-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20141224001344 | I | Podiatry | NJ | TBD |
| I20210112002755 | I | Podiatry | CA | 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 | 576 | 173 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 70 | 70 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 54 | 32 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 30 | 22 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 18 | $0 |
Insurance plans in this area (ZIP 33024)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Clinical Social Worker | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA |
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