DR. EMMANUEL D LAGOUTARIS (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1932180676
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. EMMANUEL D LAGOUTARIS (DPM)
300 KINGSLEY LAKE DR
STE. 402
ST AUGUSTINE, FL 320923037
Phone: (904) 429-9859
Fax: (904) 429-9862
Type: Location
Pilot Travel Center, County Road 210 West, Sampson, Saint Johns County, Florida, 32259, United States
STE 108, PMB 355
JACKSONVILLE, FL 322594060
Phone:
Type: Mailing
6209 BROOKS BARTRAM DR
JACKSONVILLE, FL 322585601
Phone: (904) 534-9752
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: 2004-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040226000740 | I | Podiatry | FL | 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 |
|---|---|---|---|---|
| 11720 | Removal of fingernails or toenails, 1-5 nails | 975 | 331 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 522 | 517 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 194 | 65 | $0 |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 32092)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | FL | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1844 | 647 |
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