DONALD E PELTO (DPM) – Podiatrist, NPI 1164756631
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
386 PODIATRY in MA
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Provider Addresses for DONALD E PELTO (DPM)
202, Lincoln Street, Leominster, Worcester County, Massachusetts, 01453-3312, United States
WORCESTER, MA 016053646
Phone: (508) 757-4003
Fax: (508) 755-7592
Type: Mailing
299, Lincoln Street, Blackstone, Worcester County, Massachusetts, 01504, United States
SUITE 202
WORCESTER, MA 016053646
Phone: (508) 757-4003
Fax: (508) 755-7592
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $379.
Total Amount is formed as General ($379) + Research ($0) + Ownership ($0) = $379.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Averitas Pharma Inc. ($129).
Total Amount
$379
General + Research + Ownership
Payments
12
Total payment records
General Amount
$379
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $129 |
| Zimmer Biomet Holdings, Inc. | $73 |
| Bioventus LLC | $57 |
| Orthofix Medical, Inc. | $37 |
| Smith+Nephew, Inc. | $36 |
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: 2009-12-09
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 |
|---|---|---|---|---|
| I20091209000094 | I | Podiatry | MA | 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 | 399 | 282 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 332 | 160 | $0 |
| 11719 | Trimming of fingernails or toenails | 304 | 128 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 236 | 108 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 198 | 88 | $0 |
Insurance plans in this area (ZIP 01605)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MA | |
| P O D I A T R Y | MA | |
| P O D I A T R Y | MA |
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