DR. DAMIAN D DIETER (DPM) – Podiatrist, NPI 1467494393
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
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Provider Addresses for DR. DAMIAN D DIETER (DPM)
1608, Portage Avenue, Keller Park, South Bend, Saint Joseph County, Indiana, 46616, United States
SOUTH BEND, IN 466161740
Phone: (574) 233-2966
Fax: (574) 233-2995
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 4 Open Payments records for all available years, with a total value of $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Medtronic, Inc. ($150).
Total Amount
$245
General + Research + Ownership
Payments
4
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $150 |
| Organogenesis Inc. | $74 |
| TREACE MEDICAL CONCEPTS, INC. | $21 |
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: 2010-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (741 days ago).
Enrollment records
2
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| I20031114000490 | I | Podiatry | IN | TBD |
| O20100930086217 | O | Physician - Podiatry | IN | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 629 | 208 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 192 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 85 | 70 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 68 | 31 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 60 | 32 | $0 |
Insurance plans in this area (ZIP 46616)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11056 | Removal of 2 to 4 thickened skin growths | 470 | 240 |
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