NATHANIEL A PTAK – Foot & Ankle Surgery Podiatrist, NPI 1194387571
Foot & Ankle Surgery 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 NATHANIEL A PTAK
4292 VINEYARD TRL
SNELLVILLE, GA 300396197
Phone: (630) 464-7825
Type: Mailing
Atlanta VA Medical Center, 1670, Clairmont Road, North Decatur, DeKalb County, Georgia, 30033, United States
DECATUR, GA 300334004
Phone: (404) 321-6111
Type: Location
5121 S Cottonwood St
Murray, UT 841075701
Phone: (801) 507-7000
Type: Location
1670 Clairmont Rd
Decatur, GA 300334004
Phone: (404) 321-6111
Type: Location
5121 S COTTONWOOD ST
MURRAY, UT 841075701
Phone: (630) 464-7825
Type: Mailing
5750 E HIGHWAY 90 STE 200
SIERRA VISTA, AZ 856359113
Phone: (520) 263-3761
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 74 Open Payments records for all available years, with a total value of $5,687.
Total Amount is formed as General ($5,687) + Research ($0) + Ownership ($0) = $5,687.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($2,421).
Total Amount
$5,687
General + Research + Ownership
Payments
74
Total payment records
General Amount
$5,687
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 |
|---|---|
| Stryker Corporation | $2,421 |
| Arthrex, Inc. | $1,196 |
| Medline Industries LP | $1,105 |
| ImpactOrtho, Inc. | $320 |
| Medical Device Business Services, Inc. | $300 |
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: 2024-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20240326002587 | I | Podiatry | GA | TBD |
| I20240710004710 | I | Podiatry | AZ | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | AZ | |
| N E U R O L O G Y | MI | |
| Certified Nurse Midwife (Cnm) | AZ | |
| - | AZ | |
| Physician Assistant | AL | |
| - | KS | |
| P S Y C H I A T R Y | VA | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | MN | |
| Orthopedic Surgery | CO |
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