DR. RANDAL LEE WRAALSTAD (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1255334066
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
72 PODIATRY in ID
Provider Addresses for DR. RANDAL LEE WRAALSTAD (D.P.M.)
PO BOX 587
TWIN FALLS, ID 833030587
Phone: (208) 814-7400
Fax: (208) 814-7491
Type: Mailing
762 N COLLEGE RD STE A
TWIN FALLS, ID 833015392
Phone: (208) 814-7150
Fax: (208) 814-7170
Type: Location
North College Road, Twin Falls, Twin Falls County, Idaho, 83301, United States
SUITE A
TWIN FALLS, ID 833015812
Phone: (208) 814-7150
Fax: (208) 814-7170
Type: Location
190 E BANNOCK ST
BOISE, ID 837126241
Phone:
Fax: (208) 814-7491
Type: Mailing
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 $1,404.
Total Amount is formed as General ($1,404) + Research ($0) + Ownership ($0) = $1,404.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($1,081).
Total Amount
$1,404
General + Research + Ownership
Payments
12
Total payment records
General Amount
$1,404
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $1,081 |
| Stryker Corporation | $142 |
| Integra LifeSciences Corporation | $58 |
| Smith+Nephew, Inc. | $47 |
| Medtronic, Inc. | $38 |
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: 2004-07-13
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 |
|---|---|---|---|---|
| I20040713000512 | I | Podiatry | ID | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 179 | 121 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 163 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 86 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 99 | 32 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 62 | 40 | $0 |
Insurance plans in this area (ZIP 83303)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | ID | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 144 | 73 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | VA | |
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Clinical Psychologist | ND | |
| A N E S T H E S I O L O G Y | ID | |
| - | UT | |
| Diagnostic Radiology | OR | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID |
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