MARK WAVRUNEK – Foot & Ankle Surgery Podiatrist, NPI 1194107607
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
Provider Addresses for MARK WAVRUNEK
161 Washington Pointe Dr
Indianapolis, IN 462292693
Phone: (317) 898-6624
Type: Location
3971 GABLE LANE DR APT 816
INDIANAPOLIS, IN 462286312
Phone: (920) 680-4065
Type: Mailing
161 WASHINGTON POINTE DR
INDIANAPOLIS, IN 462292693
Phone: (317) 898-6624
Type: Location
4800 MAINE ST
QUINCY, IL 623055875
Phone: (217) 214-3823
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $765.
Total Amount is formed as General ($765) + Research ($0) + Ownership ($0) = $765.
Last reported payment date: 2024-03-10 • Largest payer in this snapshot: Paragon 28, Inc. ($682).
Total Amount
$765
General + Research + Ownership
Payments
8
Total payment records
General Amount
$765
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paragon 28, Inc. | $682 |
| ABBVIE INC. | $52 |
| Elite Orthopedics, Llc | $18 |
| Elite Orthopedics, LLC | $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: 2019-07-19
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 |
|---|---|---|---|---|
| I20190719002626 | 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 | 353 | 135 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 179 | 113 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 152 | 28 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 84 | 84 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 67 | 67 | $0 |
Insurance plans in this area (ZIP 46229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| N E U R O L O G Y | MI | |
| Radiation Oncology | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Pain Management, Anesthesiology | IL | |
| Family Practice, Emergency Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL |
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