DR. JONATHAN DETOMMASO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1033476304
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for DR. JONATHAN DETOMMASO (DPM)
7601 W JEFFERSON BLVD
FORT WAYNE, IN 468044133
Phone: (260) 436-8686
Fax: (260) 436-8585
Type: Location
PO BOX 2526
FORT WAYNE, IN 468012526
Phone: (866) 401-3663
Fax: (260) 407-4422
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $560.
Total Amount is formed as General ($560) + Research ($0) + Ownership ($0) = $560.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ConvaTec Inc. ($179).
Total Amount
$560
General + Research + Ownership
Payments
9
Total payment records
General Amount
$560
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $179 |
| Paragon 28, Inc. | $151 |
| Boston Scientific Corporation | $109 |
| Smith+Nephew, Inc. | $50 |
| Medical Device Business Services, Inc. | $36 |
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: 2017-05-01
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 |
|---|---|---|---|---|
| I20150625002450 | I | Podiatry | IN | TBD |
| I20170501002525 | I | Podiatry | OH | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 435 | 326 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 425 | 262 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 279 | 67 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 216 | 216 | $0 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | 142 | 66 | $0 |
Insurance plans in this area (ZIP 46804)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 73630 | X-ray of foot, minimum of 3 views | 438 | 288 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Physician Assistant | IN | |
| Orthopedic Surgery | IN | |
| - | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| Orthopedic Surgery | IN | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Sports Medicine | IN | |
| - | IN |
Reviews
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