TYLER WISHAU – Foot & Ankle Surgery Podiatrist, NPI 1144649856
Foot & Ankle Surgery Podiatrist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for TYLER WISHAU
2 GOOD SAMARITAN WAY STE 420
MOUNT VERNON, IL 628642478
Phone: (618) 899-3900
Type: Location
12303 DePaul Dr.
Bridgeton, MO 630442588
Phone: (314) 344-6000
Type: Location
PO BOX 955860
SAINT LOUIS, MO 631952588
Phone: (636) 498-5944
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $416.
Total Amount is formed as General ($416) + Research ($0) + Ownership ($0) = $416.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Stryker Corporation ($381).
Total Amount
$416
General + Research + Ownership
Payments
8
Total payment records
General Amount
$416
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $381 |
| Organogenesis Inc. | $35 |
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: 2018-10-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170817000352 | I | Podiatry | VA | TBD |
| I20181031001161 | 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 | 873 | 422 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 215 | 143 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 194 | 194 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 190 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 143 | 95 | $0 |
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
Reviews
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