DR. JOHN ANDREW SHOUDEL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1760480750
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. JOHN ANDREW SHOUDEL (DPM)
747 N RUTLEDGE ST
SPRINGFIELD, IL 627026700
Phone: (217) 652-3816
Type: Mailing
2070, West Iles Avenue, Springfield, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627044174
Phone: (217) 698-6228
Fax: (217) 698-7241
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $343.
Total Amount is formed as General ($343) + Research ($0) + Ownership ($0) = $343.
Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Amgen Inc. ($247).
Total Amount
$343
General + Research + Ownership
Payments
6
Total payment records
General Amount
$343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $247 |
| Organogenesis Inc. | $97 |
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: 2010-07-28
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 |
|---|---|---|---|---|
| I20100728000248 | 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 | 285 | 143 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 208 | 103 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 124 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 109 | 79 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 102 | 48 | $0 |
Insurance plans in this area (ZIP 62702)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | IL | |
| Physician Assistant | IL | |
| Pulmonary Disease | IL | |
| D E R M A T O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| General Surgery | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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