DR. RUDOLF W CISCO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1043236706

DR. RUDOLF W CISCO (DPM) is a healthcare provider. based in Gainesville, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 000596 (GA). The NPI Number for DR. RUDOLF W CISCO (DPM) is 1043236706

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUDOLF W CISCO (DPM)
NPI
1043236706
Phone
(770) 287-0606
Address
1224 SHERWOOD PARK DR NE
Enumeration Date
15 July 2006
Last Update Date
5 January 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7702870606
Graduation Year
1986 (40 years ago)
PAC ID
1557406592
Group Practice PAC ID
7719218437
Professional Enrollment ID
I20100302000881
Address ID
GA305013445GA1224XNEXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

432 PODIATRY in GA

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Provider Addresses for DR. RUDOLF W CISCO (DPM)

  • 1224, Sherwood Park Drive Northeast, Gainesville, Hall County, Georgia, 30501, United States

    GAINESVILLE, GA 305013445

    Phone: (770) 287-0606

    Fax: (770) 287-0159

    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 5 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-09-07 • Largest payer in this snapshot: Bone Support Inc. ($155).

Total Amount

$381

General + Research + Ownership

Payments

5

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-07

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: 2010-03-02

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
I20100302000881IPodiatryGATBD

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
11721Removal of fingernails or toenails, 6 or more nails561206$0
G0127Trimming of dystrophic nails, any number461146$0
99213Established patient office or other outpatient visit, 20-29 minutes385209$0
11056Removal of noncancer thickened skin growth, 2-4 growths336117$0
11720Removal of fingernails or toenails, 1-5 nails27493$0
View full utilization report →

Insurance plans in this area (ZIP 30501)

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Provider's Procedures

DR. RUDOLF W CISCO (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA73630X-ray of foot, minimum of 3 views349269

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: 7719218437View full group profile
NameSpecialtyState
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YGA
P O D I A T R YTN
P O D I A T R YGA
P O D I A T R YGA

Reviews

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Frequently asked questions

How is DR. RUDOLF W CISCO (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. RUDOLF W CISCO (DPM) with NPI 1043236706.
Does CMS list DR. RUDOLF W CISCO (DPM) as active?
Yes — DR. RUDOLF W CISCO (DPM) is active in the NPI listing used on this page.
What taxonomy line describes DR. RUDOLF W CISCO (DPM)?
For research purposes, treat DR. RUDOLF W CISCO (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. RUDOLF W CISCO (DPM) on a map?
Expect Gainesville, Georgia as a primary anchor for DR. RUDOLF W CISCO (DPM) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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