NICHOLAS P COSTIDAKIS (DPM) – Podiatrist, NPI 1972571297
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 NICHOLAS P COSTIDAKIS (DPM)
Lafayette Post Office, 99, Chauncy Street, Downtown Crossing, Downtown Boston, Boston, Suffolk County, Massachusetts, 02111, United States
LAFAYETTE, IN 479034699
Phone: (765) 449-2732
Fax: (765) 449-1196
Type: Mailing
Veterans Memorial Parkway South, Lafayette, Tippecanoe County, Indiana, 47909, United States
LAFAYETTE, IN 479099192
Phone: (765) 447-4776
Fax: (765) 447-4809
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 $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Paratek Pharmaceuticals, 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: 2011-01-28
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 |
|---|---|---|---|---|
| I20110128000082 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 263 | 149 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 78 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 55 | 35 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 50 | 32 | $0 |
Insurance plans in this area (ZIP 47903)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | IN | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 671 | 194 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | GA | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | FL | |
| Nurse Practitioner | TN | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | KY | |
| P O D I A T R Y | IN | |
| P O D I A T R Y | FL | |
| P O D I A T R Y | GA |
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