KANESHA MONIQUE GILLYARD (DPM) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1487140950
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
432 PODIATRY in GA
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Provider Addresses for KANESHA MONIQUE GILLYARD (DPM)
Decatur, Macon County, Illinois, United States
DECATUR, GA 300335743
Phone: (318) 461-9831
Type: Mailing
106 E BROAD ST
SAVANNAH, GA 314012917
Phone: (912) 527-1100
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
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $1,668.
Total Amount is formed as General ($1,668) + Research ($0) + Ownership ($0) = $1,668.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($1,032).
Total Amount
$1,668
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,668
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $1,032 |
| Paragon 28, Inc. | $496 |
| Pylant Medical | $118 |
| Bioventus LLC | $13 |
| Advanced Oxygen Therapy Inc. | $8 |
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: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210608001684 | I | Podiatry | GA | TBD |
| I20241210003659 | I | Podiatry | LA | TBD |
| I20251106000122 | I | Podiatry | VA | 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 30033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NY | |
| P O D I A T R Y | NY | |
| P O D I A T R Y | NY | |
| P O D I A T R Y | WA |
Reviews
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