KIRK S HOLSTON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1760462089
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
393 PODIATRY in IN
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Provider Addresses for KIRK S HOLSTON (DPM)
3850, Shore Drive, Indianapolis, Indiana, 46254, United States
SUITE 301
INDIANAPOLIS, IN 462545621
Phone: (317) 297-3338
Fax: (317) 297-9997
Type: Location
10332, Power Drive, Carmel, Hamilton County, Indiana, 46033, United States
CARMEL, IN 460334759
Phone: (317) 846-0515
Type: Mailing
2700 Dr Martin Luther King Jr St
Indianapolis, IN 462085019
Phone: (317) 931-4300
Type: Location
3850 Shore Dr
Suite 301
Indianapolis, IN 462545621
Phone: (317) 297-3338
Fax: (317) 297-9997
Type: Location
PO BOX 637764
CINCINNATI, OH 452637764
Phone: (317) 880-3939
Type: Mailing
6002 E 38TH ST
INDIANAPOLIS, IN 462265614
Phone: (317) 880-6002
Fax: (317) 880-0417
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $143.
Total Amount is formed as General ($143) + Research ($0) + Ownership ($0) = $143.
Last reported payment date: 2024-08-03 • Largest payer in this snapshot: Smith+Nephew, Inc. ($143).
Total Amount
$143
General + Research + Ownership
Payments
1
Total payment records
General Amount
$143
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $143 |
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: 2004-10-18
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 |
|---|---|---|---|---|
| I20041018000765 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46254)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11042 | Removal of skin and tissue first 20 sq cm or less | 34 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| - | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IN | |
| - | IN | |
| - | IN |
Reviews
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