ELIZABETH CHAN – Foot & Ankle Surgery Podiatrist, NPI 1104351352
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ELIZABETH CHAN
2341, West Lincoln Road, New Maple Crest, Kokomo, Howard County, Indiana, 46902, United States
KOKOMO, IN 469028012
Phone: (844) 424-3668
Fax: (317) 575-6909
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 18 Open Payments records for all available years, with a total value of $1,566.
Total Amount is formed as General ($1,566) + Research ($0) + Ownership ($0) = $1,566.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($624).
Total Amount
$1,566
General + Research + Ownership
Payments
18
Total payment records
General Amount
$1,566
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 |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $624 |
| Integra LifeSciences Corporation | $514 |
| Nevro Corp. | $156 |
| Kerecis Limited | $126 |
| Stryker Corporation | $64 |
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: 2020-08-06
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 |
|---|---|---|---|---|
| I20200806002683 | I | Podiatry | IN | 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 | 265 | 138 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 128 | 128 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 95 | 72 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 85 | 20 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 81 | 57 | $0 |
Insurance plans in this area (ZIP 46902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| - | KY | |
| H E M A T O L O G Y/ O N C O L O G Y | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| - | IN |
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