MICKEY DWIGHT STAPP (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1023114238
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
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Provider Addresses for MICKEY DWIGHT STAPP (D.P.M.)
Wainbrook Drive, Augusta, Richmond County, Georgia, 30990, United States
AUGUSTA, GA 309096289
Phone: (706) 312-3668
Fax: (706) 312-3670
Type: Mailing
150 MAIN ST
THOMSON, GA 308242662
Phone: (762) 994-0904
Fax: (762) 994-0906
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $41,376.
Total Amount is formed as General ($41,376) + Research ($0) + Ownership ($0) = $41,376.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($39,941).
Total Amount
$41,376
General + Research + Ownership
Payments
78
Total payment records
General Amount
$41,376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $39,941 |
| Team 1, Llc | $204 |
| Smith+Nephew, Inc. | $180 |
| Nevro Corp. | $164 |
| ConvaTec Inc. | $110 |
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: 2004-03-23
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 |
|---|---|---|---|---|
| I20040323000185 | I | Podiatry | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 679 | 431 | $0 |
| 73620 | X-ray of foot, 2 views | 227 | 96 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 210 | 155 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 202 | 91 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 168 | 56 | $0 |
Insurance plans in this area (ZIP 30909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | GA | 11056 | Removal of 2 to 4 thickened skin growths | 19 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | TN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | IN |
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