ADAM DEAN PORT – Primary Podiatric Medicine Podiatrist, NPI 1033684816
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
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Provider Addresses for ADAM DEAN PORT
2632, Colony Way, Snellville, Gwinnett County, Georgia, 30078, United States
SNELLVILLE, GA 300782779
Phone: (803) 220-9603
Type: Mailing
North Decatur Road, Decatur, DeKalb County, Georgia, 30032, United States
DECATUR, GA 300335918
Phone: (404) 501-7188
Fax: (404) 501-2095
Type: Location
1975 HIGHWAY 54 W STE 205
PEACHTREE CITY, GA 302694794
Phone: (678) 902-0457
Fax: (770) 415-1450
Type: Mailing
5635 PEACHTREE PKWY STE 100
NORCROSS, GA 300922823
Phone: (770) 368-6215
Fax: (770) 368-6261
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,614.
Total Amount is formed as General ($1,614) + Research ($0) + Ownership ($0) = $1,614.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($510).
Total Amount
$1,614
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,614
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $510 |
| Orthofix Medical, Inc. | $214 |
| Kerecis Limited | $188 |
| Medtronic, Inc. | $170 |
| Linvatec Corporation | $149 |
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: 2020-07-08
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 |
|---|---|---|---|---|
| I20200708003842 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 346 | 106 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 182 | 72 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 106 | 28 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 103 | 25 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 97 | 51 | $0 |
Insurance plans in this area (ZIP 30078)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | GA | |
| - | GA | |
| P O D I A T R Y | GA | |
| - | GA | |
| P O D I A T R Y | GA | |
| P O D I A T R Y | IA | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | GA |
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