DR. GRANT WILSON GONZALEZ (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1164856704
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for DR. GRANT WILSON GONZALEZ (D.P.M.)
2921 MONTVALE DR
SPRINGFIELD, IL 627045359
Phone: (217) 787-2700
Fax: (217) 787-2715
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 $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2023-07-21 • Largest payer in this snapshot: Horizon Therapeutics plc ($123).
Total Amount
$137
General + Research + Ownership
Payments
2
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Horizon Therapeutics plc | $123 |
| Smith+Nephew, Inc. | $14 |
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: 2015-07-13
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 |
|---|---|---|---|---|
| I20150713002639 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 594 | 252 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 383 | 238 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 173 | 123 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 172 | 172 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 155 | 50 | $0 |
Insurance plans in this area (ZIP 62704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IL | 11042 | Removal of skin and tissue first 20 sq cm or less | 183 | 46 |
| PODIATRY | IL | 11056 | Removal of 2 to 4 thickened skin growths | 15 | 12 |
| PODIATRY | IL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 43 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| P O D I A T R Y | IL |
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