JEFFREY ALLEN MULDOON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1720460629
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for JEFFREY ALLEN MULDOON (D.P.M.)
904 S WASHINGTON AVE
HOLLAND, MI 494237724
Phone: (616) 392-7472
Fax: (616) 392-3327
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 14 Open Payments records for all available years, with a total value of $2,371.
Total Amount is formed as General ($2,371) + Research ($0) + Ownership ($0) = $2,371.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Medwest Associates ($1,601).
Total Amount
$2,371
General + Research + Ownership
Payments
14
Total payment records
General Amount
$2,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medwest Associates | $1,601 |
| Arthrex, Inc. | $462 |
| Paragon 28, Inc. | $194 |
| Integra LifeSciences Corporation | $102 |
| Kerecis Limited | $11 |
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: 2018-06-20
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 |
|---|---|---|---|---|
| I20180620000852 | I | Podiatry | MI | 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 | 423 | 136 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 150 | 59 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 127 | 41 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 109 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 106 | 60 | $0 |
Insurance plans in this area (ZIP 49423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OH | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI |
Reviews
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