Unknown Individual – Podiatrist, NPI 1659363679
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2939, South Florida Avenue, Lakeland, Polk County, Florida, 33803, United States
LAKELAND, FL 338034046
Phone: (863) 687-3404
Fax: (863) 687-4672
Mailing address matches the actual address.
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 $341.
Total Amount is formed as General ($341) + Research ($0) + Ownership ($0) = $341.
Last reported payment date: 2024-04-02 • Largest payer in this snapshot: Organogenesis Inc. ($89).
Total Amount
$341
General + Research + Ownership
Payments
17
Total payment records
General Amount
$341
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 | 705 | 203 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 186 | 34 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 165 | 64 | $0 |
| 29540 | Placement of strapping to ankle or foot | 121 | 46 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 114 | 64 | $0 |
Insurance plans in this area (ZIP 33803)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | FL | 73630 | X-ray of foot, minimum of 3 views | 209 | 125 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL |
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