DR. STEPHEN WAYNE DAUGHERTY (DMP) – Foot & Ankle Surgery Podiatrist, NPI 1114451911
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
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Provider Addresses for DR. STEPHEN WAYNE DAUGHERTY (DMP)
3502 GREEN BAY RD APT 104
NORTH CHICAGO, IL 600643614
Phone: (830) 370-1200
Type: Mailing
Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
CHICAGO, IL 606123714
Phone: (312) 864-5365
Type: Location
327 PATRIOT ST
KERRVILLE, TX 780285821
Phone: (830) 370-1200
Type: Mailing
3600 MEMORIAL BLVD
KERRVILLE, TX 780285819
Phone: (830) 370-1200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2023-03-31 • Largest payer in this snapshot: Stryker Corporation ($143).
Total Amount
$143
General + Research + Ownership
Payments
3
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $143 |
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: 2022-05-24
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 |
|---|---|---|---|---|
| I20220524001043 | I | Podiatry | TX | 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 |
|---|---|---|---|---|
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 61 | 61 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 20 | $0 |
Insurance plans in this area (ZIP 60064)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | TX | |
| U R O L O G Y | TX | |
| Orthopedic Surgery | TX | |
| Nurse Practitioner | TX | |
| Cardiac Surgery, Thoracic Surgery | TX | |
| - | TX | |
| Physical Therapist In Private Practice | TX | |
| Pulmonary Disease | TX | |
| Nurse Practitioner | TX | |
| H E M A T O L O G Y/ O N C O L O G Y | TX |
Reviews
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