DR. NICOLAS S ANDERSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1124179817
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. NICOLAS S ANDERSON (DPM)
Orthopaedic Associates of Riverside, 353, East Burlington Street, Riverside, Riverside Township, Cook County, Illinois, 60546, United States
SUITE 100
RIVERSIDE, IL 60546
Phone: (708) 442-0221
Fax: (708) 442-5670
Type: Mailing
353, East Burlington Street, Riverside, Riverside Township, Cook County, Illinois, 60546, United States
SUITE 100
RIVERSIDE, IL 605462189
Phone: (708) 442-0221
Fax: (708) 442-5670
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $1,095.
Total Amount is formed as General ($1,095) + Research ($0) + Ownership ($0) = $1,095.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Stryker Corporation ($492).
Total Amount
$1,095
General + Research + Ownership
Payments
20
Total payment records
General Amount
$1,095
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $492 |
| Fusion Orthopedics USA, LLC | $262 |
| Organogenesis Inc. | $122 |
| Smith+Nephew, Inc. | $115 |
| Orthofix Medical, Inc. | $57 |
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: 2008-09-23
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 |
|---|---|---|---|---|
| I20080923000418 | I | Podiatry | IL | 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 | 1,557 | 419 | $0 |
| 11305 | Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less | 577 | 111 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 373 | 51 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 353 | 59 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 260 | 13 | $0 |
Insurance plans in this area (ZIP 60546)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 11056 | Removal of 2 to 4 thickened skin growths | 19 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Orthopedic Surgery | IL | |
| Physical Therapist In Private Practice | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physical Therapist In Private Practice | IL | |
| Orthopedic Surgery | IL | |
| Orthopedic Surgery | IL | |
| Physician Assistant | IL |
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