DR. MARIE WONKYONG SHIN (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1275824971

DR. MARIE WONKYONG SHIN (DPM) is a healthcare provider. based in Pembroke pines, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5711 (CA). The NPI Number for DR. MARIE WONKYONG SHIN (DPM) is 1275824971

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARIE WONKYONG SHIN (DPM)
NPI
1275824971
Phone
(954) 987-4991
Address
2261 N UNIVERSITY DR
Enumeration Date
28 April 2011
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2138585126
Graduation Year
2009 (17 years ago)
PAC ID
3476793704
Group Practice PAC ID
3072619618
Professional Enrollment ID
I20210112002755
Address ID
CA900171103LO303XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141224001344IPodiatryNJTBD
I20210112002755IPodiatryCATBD

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 minutes576173$0
99203New patient office or other outpatient visit, 30-44 minutes7070$0
11721Removal of fingernails or toenails, 6 or more nails5432$0
11056Removal of noncancer thickened skin growth, 2-4 growths3022$0
99212Established patient office or other outpatient visit, 10-19 minutes2618$0
View full utilization report →

Insurance plans in this area (ZIP 33024)

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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: 3072619618View full group profile
NameSpecialtyState
Nurse PractitionerCA
Clinical Social WorkerCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal MedicineCA
Family PracticeCA
Nurse PractitionerCA
Family PracticeCA

Reviews

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Frequently asked questions

Is there an official ID for DR. MARIE WONKYONG SHIN (DPM) in U.S. healthcare records?
The official identifier for DR. MARIE WONKYONG SHIN (DPM) is NPI 1275824971.
Active or inactive — what applies to DR. MARIE WONKYONG SHIN (DPM)?
You should see DR. MARIE WONKYONG SHIN (DPM) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. MARIE WONKYONG SHIN (DPM)?
DR. MARIE WONKYONG SHIN (DPM)'s specialty line reads Primary Podiatric Medicine Podiatrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARIE WONKYONG SHIN (DPM)?
Travel planning: use Pembroke Pines, Florida as the reference point for DR. MARIE WONKYONG SHIN (DPM), then confirm.
When was this NPI issued?
Enumeration for DR. MARIE WONKYONG SHIN (DPM) is noted as April 28, 2011 where the registry provides it.

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