RENE SIAZON JURIDICO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1720566466
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
Provider Addresses for RENE SIAZON JURIDICO (DPM)
1600 S KALAMAZOO AVE STE A
MARSHALL, MI 490688730
Phone: (269) 781-4700
Fax: (269) 781-7168
Type: Location
10340 SWIFT STREAM PL APT 212
COLUMBIA, MD 210444873
Phone: (586) 925-7155
Type: Mailing
1500 WATERTOWER PL STE 300
EAST LANSING, MI 488238049
Phone: (517) 351-7640
Type: Mailing
112, North Greene Street, Seton Hill, Baltimore, Maryland, 21201, United States
BALTIMORE, MD 212011524
Phone: (410) 605-7242
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $3,202.
Total Amount is formed as General ($3,202) + Research ($0) + Ownership ($0) = $3,202.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($2,482).
Total Amount
$3,202
General + Research + Ownership
Payments
75
Total payment records
General Amount
$3,202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $2,482 |
| Smith+Nephew, Inc. | $213 |
| ACUMED LLC | $147 |
| Lightbody Medical Technologies Inc | $104 |
| Zak Ortho | $50 |
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: 2022-04-07
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 |
|---|---|---|---|---|
| I20220407000398 | 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 |
|---|---|---|---|---|
| 11720 | Removal of fingernails or toenails, 1-5 nails | 423 | 182 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 302 | 122 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 119 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 148 | 98 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 136 | 136 | $0 |
Insurance plans in this area (ZIP 49068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MI | |
| P O D I A T R Y | OH |
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