MICHAEL MITRY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1700193406

MICHAEL MITRY (DPM) is a healthcare provider. based in Hanover, Massachusetts. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2384 (MA). The NPI Number for MICHAEL MITRY (DPM) is 1700193406

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL MITRY (DPM)
NPI
1700193406
Phone
(781) 826-1150
Address
20 East St Ste 6
Enumeration Date
2 September 2010
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7814444044
Graduation Year
2010 (16 years ago)
PAC ID
1759538218
Group Practice PAC ID
7113236399
Professional Enrollment ID
I20120906000143
Address ID
MA024922617NE1410XAVEX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

385 PODIATRY in MA

Provider Addresses for MICHAEL MITRY (DPM)

  • 20 East St Ste 6

    Hanover, MA 023394460

    Phone: (781) 826-1150

    Fax: (781) 826-6052

    Type: Location

  • 95 Chapel St Ste 3C

    Norwood, MA 020623161

    Phone: (781) 762-5155

    Fax: (781) 444-5044

    Type: Location

  • 1410 HIGHLAND AVE

    STE 204

    NEEDHAM, MA 024922617

    Phone: (781) 444-4044

    Fax: (781) 444-5044

    Type: Mailing

  • 1410 HIGHLAND AVE STE 204

    NEEDHAM, MA 024924460

    Phone: (781) 444-4044

    Fax: (781) 444-5044

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: MedShape, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MedShape, Inc.$17
View all Open Payments →|Open Payments Risk Radar →

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: 2012-09-06

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120906000143IPodiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes723383$0
99203New patient office or other outpatient visit, 30-44 minutes179179$0
11721Removal of fingernails or toenails, 6 or more nails17899$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg15436$0
11056Removal of noncancer thickened skin growth, 2-4 growths9051$0
View full utilization report →

Insurance plans in this area (ZIP 02339)

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Provider's Procedures

MICHAEL MITRY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMA11042Removal of skin and tissue first 20 sq cm or less6111
PODIATRYMA11056Removal of 2 to 4 thickened skin growths1094510

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113236399View full group profile
NameSpecialtyState
P O D I A T R YMA

Reviews

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Frequently asked questions

What is MICHAEL MITRY (DPM)'s NPI number?
MICHAEL MITRY (DPM)'s NPI is 1700193406 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MICHAEL MITRY (DPM)?
You should see MICHAEL MITRY (DPM) as active in CMS-hosted NPPES data.
What clinical focus is listed for MICHAEL MITRY (DPM)?
At a glance, MICHAEL MITRY (DPM) is tied to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Is MICHAEL MITRY (DPM) located near Hanover?
MICHAEL MITRY (DPM) currently maps to Hanover, Massachusetts in this extract.
When was this NPI issued?
Enumeration for MICHAEL MITRY (DPM) is noted as September 2, 2010 where the registry provides it.

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