DR. KELSEY MAE SUKOVATY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1700308095
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 PODIATRY in IA
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Provider Addresses for DR. KELSEY MAE SUKOVATY (DPM)
3735 RAVENWOOD CIR APT 10
WATERLOO, IA 507025521
Phone: (515) 370-3321
Type: Mailing
MercyOne Waterloo Medical Center, 3421, West 9th Street, Waterloo, Black Hawk County, Iowa, 50702, United States
WATERLOO, IA 507025401
Phone: (319) 272-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 63 Open Payments records for all available years, with a total value of $2,472.
Total Amount is formed as General ($2,472) + Research ($0) + Ownership ($0) = $2,472.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($2,135).
Total Amount
$2,472
General + Research + Ownership
Payments
63
Total payment records
General Amount
$2,472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $2,135 |
| DePuy Synthes Sales Inc. | $81 |
| Smith+Nephew, Inc. | $60 |
| ConvaTec Inc. | $42 |
| Organogenesis Inc. | $38 |
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: 2017-08-11
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 |
|---|---|---|---|---|
| I20170811000142 | I | Podiatry | IA | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 161 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 63 | 45 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 57 | 25 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 38 | 38 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 29 | 24 | $0 |
Insurance plans in this area (ZIP 50702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice, Emergency Medicine | IA | |
| Mental Health Counselor | IA | |
| - | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| General Surgery | IA | |
| - | PA | |
| Nurse Practitioner | IA |
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