JEFFREY BLANK – Foot & Ankle Surgery Podiatrist, NPI 1235142605
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 JEFFREY BLANK
31, West Dundee Road, Buffalo Grove, Wheeling Township, Cook County, Illinois, 60089, United States
WHEELING, IL 600904863
Phone: (847) 215-1525
Fax: (312) 642-9311
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 10 Open Payments records for all available years, with a total value of $633.
Total Amount is formed as General ($633) + Research ($0) + Ownership ($0) = $633.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Organogenesis Inc. ($459).
Total Amount
$633
General + Research + Ownership
Payments
10
Total payment records
General Amount
$633
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $459 |
| Abbott Laboratories | $175 |
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: 2011-03-01
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 |
|---|---|---|---|---|
| I20110301000848 | 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 | 757 | 417 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 374 | 198 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 372 | 201 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 354 | 187 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 298 | 175 | $0 |
Insurance plans in this area (ZIP 60090)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL |
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