DR. WASSEM E FARAGALLA (DPM) – Foot Surgery Podiatrist, NPI 1598103905

DR. WASSEM E FARAGALLA (DPM) is a healthcare provider. based in Bradenton, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3803 (FL). The NPI Number for DR. WASSEM E FARAGALLA (DPM) is 1598103905

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. WASSEM E FARAGALLA (DPM)
NPI
1598103905
Phone
Not provided
Address
11416 GRAMERCY PARK AVE
Enumeration Date
7 June 2013
Last Update Date
22 March 2018

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8134443022
Graduation Year
2012 (14 years ago)
PAC ID
0648578914
Professional Enrollment ID
I20160420000546
Address ID
FL342039712BR6120X70XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. WASSEM E FARAGALLA (DPM)

  • 11416 GRAMERCY PARK AVE

    BRADENTON, FL 342118459

    Phone:

    Type: Mailing

  • 13600 ICOT BLVD

    BLDG. B

    CLEARWATER, FL 337603703

    Phone: (888) 290-6321

    Fax: (727) 669-8417

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-04-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160420000546IPodiatryFLTBD

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
11721Removal of fingernails or toenails, 6 or more nails1,963734$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes677427$0
11055Removal of noncancer thickened skin growth, 1 growth297121$0
99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes263263$0
99213Established patient office or other outpatient visit, 20-29 minutes13484$0
View full utilization report →

Insurance plans in this area (ZIP 34211)

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Provider's Procedures

DR. WASSEM E FARAGALLA (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL11056Removal of 2 to 4 thickened skin growths1312

Reviews

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Frequently asked questions

Can I cross-check DR. WASSEM E FARAGALLA (DPM) using NPI 1598103905?
NPI 1598103905 belongs to DR. WASSEM E FARAGALLA (DPM); compare other details if you need extra assurance.
Active or inactive — what applies to DR. WASSEM E FARAGALLA (DPM)?
You should see DR. WASSEM E FARAGALLA (DPM) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. WASSEM E FARAGALLA (DPM)?
At a glance, DR. WASSEM E FARAGALLA (DPM) is tied to Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WASSEM E FARAGALLA (DPM)?
Directory geography for DR. WASSEM E FARAGALLA (DPM) centers on Bradenton, Florida.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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