DR. SAMUAL PAUL GRACEY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1386028066
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 PODIATRY in KY
Provider Addresses for DR. SAMUAL PAUL GRACEY (DPM)
142 Chenoweth Ln
Louisville, KY 402072651
Phone: (502) 897-1616
Type: Location
9407 Westport Rd Ste 110
Louisville, KY 402412315
Phone: (502) 797-3338
Type: Location
1905 W HEBRON LN STE 204
SHEPHERDSVILLE, KY 401657467
Phone: (502) 797-3338
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $4,673.
Total Amount is formed as General ($4,673) + Research ($0) + Ownership ($0) = $4,673.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Stryker Corporation ($1,828).
Total Amount
$4,673
General + Research + Ownership
Payments
94
Total payment records
General Amount
$4,673
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,828 |
| VILEX LLC | $1,736 |
| Smith+Nephew, Inc. | $463 |
| Kerecis Limited | $140 |
| Arteriocyte Medical Systems, Inc. | $109 |
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: 2024-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20180529003007 | I | Podiatry | KY | TBD |
| I20240911000404 | 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 | 660 | 211 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 585 | 188 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 329 | 182 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 302 | 60 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 101 | 61 | $0 |
Insurance plans in this area (ZIP 40207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | KY | |
| - | KY | |
| General Practice | KY | |
| P S Y C H I A T R Y | KY | |
| Thoracic Surgery, Cardiac Surgery | KY | |
| N E U R O S U R G E R Y | KY | |
| Physician Assistant | KY | |
| Emergency Medicine, General Practice | KY | |
| Hematology/Oncology, Internal Medicine | KY |
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