EVAN M BRODY (DPM) – Podiatrist, NPI 1679548168

EVAN M BRODY (DPM) is a healthcare provider. based in Kennesaw, Georgia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. POD000937 (GA). The NPI Number for EVAN M BRODY (DPM) is 1679548168

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
EVAN M BRODY (DPM)
NPI
1679548168
Phone
(678) 310-0540
Address
5205 STILESBORO RD NW STE 205
Enumeration Date
20 February 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6783100540
Graduation Year
2000 (26 years ago)
PAC ID
1254434319
Group Practice PAC ID
7810165354
Professional Enrollment ID
I20100322000594
Address ID
GA301527760KE5150XNWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

432 PODIATRY in GA

Provider Addresses for EVAN M BRODY (DPM)

  • 5205 STILESBORO RD NW STE 205

    KENNESAW, GA 301527765

    Phone: (678) 310-0540

    Fax: (678) 310-0538

    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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2023-09-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($30).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-11

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: 2010-03-22

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
I20100322000594IPodiatryGATBD

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 nails726233$0
99213Established patient office or other outpatient visit, 20-29 minutes540277$0
11056Removal of noncancer thickened skin growth, 2-4 growths19076$0
99203New patient office or other outpatient visit, 30-44 minutes121121$0
J1100Injection, dexamethasone sodium phosphate, 1 mg10414$0
View full utilization report →

Insurance plans in this area (ZIP 30152)

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Provider's Procedures

EVAN M BRODY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYGA11042Removal of skin and tissue first 20 sq cm or less4815
PODIATRYGA11056Removal of 2 to 4 thickened skin growths7552

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: 7810165354View full group profile
NameSpecialtyState
P O D I A T R YGA
P O D I A T R YGA

Reviews

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Frequently asked questions

What NPI should I save for EVAN M BRODY (DPM)?
Save NPI 1679548168 if you need a stable reference for EVAN M BRODY (DPM).
Is EVAN M BRODY (DPM) active in the national directory?
EVAN M BRODY (DPM)'s public NPI profile is in an active state.
Can you summarize EVAN M BRODY (DPM)'s specialty in plain language?
Clinically, the directory lists EVAN M BRODY (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place EVAN M BRODY (DPM)?
The snapshot lists Kennesaw, Georgia for EVAN M BRODY (DPM); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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