ELISA AMBER LEAR-RAYBORN – Podiatrist, NPI 1780996827
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for ELISA AMBER LEAR-RAYBORN
8500 W 110TH ST STE 450
OVERLAND PARK, KS 662104029
Phone:
Type: Mailing
4001 LAUREL ST
STE 204
ANCHORAGE, AK 995085300
Phone:
Type: Mailing
4201 SAINT ANTOINE ST
DETROIT, MI 482012153
Phone: (313) 745-3000
Fax: (313) 745-3000
Type: Location
1280 HENLEY RD
MIDDLEBURG, FL 320687886
Phone: (904) 600-3798
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 11 Medicare enrollment records; no due dates published yet.
Enrollment records
11
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 |
|---|---|---|---|---|
| I20130726000424 | I | Podiatry | AK | TBD |
| I20210928000613 | I | Podiatry | IN | TBD |
| I20240219003009 | I | Podiatry | FL | TBD |
| I20240515001052 | I | Podiatry | AL | TBD |
| I20240517000474 | I | Podiatry | MS | TBD |
| I20240517001265 | I | Podiatry | LA | TBD |
| I20240522002253 | I | Podiatry | UT | TBD |
| I20240628001098 | I | Podiatry | TN | TBD |
| I20240829002462 | I | Podiatry | MO | TBD |
| I20240905003538 | I | Podiatry | GA | TBD |
| I20241121002366 | I | Podiatry | CO | 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 66210)
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