KENNETH MAISAK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1710125596
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
69 PODIATRY in ME
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Provider Addresses for KENNETH MAISAK (DPM)
AAA Insurance, 68, Marginal Way, Downtown, Portland, Cumberland County, Maine, 04101, United States
PORTLAND, ME 041012444
Phone: (207) 879-1339
Fax: (207) 879-1092
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $302.
Total Amount is formed as General ($302) + Research ($0) + Ownership ($0) = $302.
Last reported payment date: 2024-03-29 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($135).
Total Amount
$302
General + Research + Ownership
Payments
11
Total payment records
General Amount
$302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $135 |
| ETS Wound Care LLC | $50 |
| Averitas Pharma Inc. | $47 |
| Orthofix Medical, Inc. | $37 |
| ACUMED LLC | $33 |
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: 2011-07-27
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 |
|---|---|---|---|---|
| I20110727000752 | I | Podiatry | ME | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 264 | 163 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 150 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 105 | 105 | $0 |
| 11719 | Trimming of fingernails or toenails | 88 | 28 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 74 | 57 | $0 |
Insurance plans in this area (ZIP 04101)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | ME | 73630 | X-ray of foot, minimum of 3 views | 80 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | NC | |
| P O D I A T R Y | ME | |
| P O D I A T R Y | NJ |
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