DR. MARQUISSA BEVERLY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1760764559

DR. MARQUISSA BEVERLY (DPM) is a healthcare provider. based in Brandon, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO 3508 (FL). The NPI Number for DR. MARQUISSA BEVERLY (DPM) is 1760764559

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARQUISSA BEVERLY (DPM)
NPI
1760764559
Phone
(813) 571-0123
Address
205 S MOON AVE
Enumeration Date
16 September 2011
Last Update Date
21 November 2016

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
7277252719
Graduation Year
2009 (17 years ago)
PAC ID
4183885643
Group Practice PAC ID
9133187107
Professional Enrollment ID
I20120411000242
Address ID
FL337592100CL1700XRDXX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. MARQUISSA BEVERLY (DPM)

  • 205 S MOON AVE

    STE 101

    BRANDON, FL 335115716

    Phone: (813) 571-0123

    Fax: (813) 661-1423

    Type: Mailing

  • 2835 WEST DELEON STREET

    #101

    TAMPA, FL 33609

    Phone: (318) 792-2347

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,344.

Total Amount is formed as General ($1,344) + Research ($0) + Ownership ($0) = $1,344.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Paragon 28, Inc. ($364).

Total Amount

$1,344

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,344

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2012-04-11

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
I20120411000242IPodiatryFLTBD

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
G0127Trimming of dystrophic nails, any number297104$0
99213Established patient office or other outpatient visit, 20-29 minutes224163$0
11720Removal of fingernails or toenails, 1-5 nails21179$0
11056Removal of noncancer thickened skin growth, 2-4 growths12840$0
99203New patient office or other outpatient visit, 30-44 minutes126126$0
View full utilization report →

Insurance plans in this area (ZIP 33511)

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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: 9133187107View full group profile

Reviews

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Frequently asked questions

Can I verify DR. MARQUISSA BEVERLY (DPM) with an NPI only?
You can start verification with NPI 1760764559 for DR. MARQUISSA BEVERLY (DPM), then check state licensing separately.
Is DR. MARQUISSA BEVERLY (DPM) listed as active for patients and plans?
The listing shows DR. MARQUISSA BEVERLY (DPM) as active in the NPI system.
What is DR. MARQUISSA BEVERLY (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for DR. MARQUISSA BEVERLY (DPM) here. Clinical services aligned with this taxonomy classification.
Does DR. MARQUISSA BEVERLY (DPM) list a practice location?
Patients near Brandon, Florida may find DR. MARQUISSA BEVERLY (DPM) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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