DR. DEAN P KOSTAKOS (D.P.M.) – Podiatrist, NPI 1417056847
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 DR. DEAN P KOSTAKOS (D.P.M.)
1380, Upper Hembree Road, Roswell, Fulton, Georgia, 30009, United States
ROSWELL, GA 300761146
Phone: (770) 346-7500
Fax: (770) 346-8800
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 2 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Organogenesis Inc. ($71).
Total Amount
$92
General + Research + Ownership
Payments
2
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $71 |
| Novo Nordisk Inc | $21 |
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: 2004-09-21
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 |
|---|---|---|---|---|
| I20040921000804 | 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 | 677 | 425 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 447 | 159 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 407 | 269 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 321 | 321 | $0 |
| 73620 | X-ray of foot, 2 views | 127 | 94 | $0 |
Insurance plans in this area (ZIP 30076)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | GA | 11042 | Removal of skin and tissue first 20 sq cm or less | 17 | 11 |
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