DR. DALE HERBERT VANCIL (D. P, M.) – Foot Surgery Podiatrist, NPI 1205856713
Foot Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Provider Addresses for DR. DALE HERBERT VANCIL (D. P, M.)
3485 WILLOW LAKE BLVD
SUITE 300
SAINT PAUL, MN 551105152
Phone: (651) 765-8200
Fax: (651) 765-8201
Type: Mailing
3485 WILLOW LAKE BLVD.
SUITE 300
LINO LAKES, MN 551105152
Phone: (651) 765-8200
Fax: (651) 765-8201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($27).
Total Amount
$33
General + Research + Ownership
Payments
3
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $27 |
| Kerecis Limited | $6 |
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: 2003-11-20
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 |
|---|---|---|---|---|
| I20031120000214 | I | Podiatry | MN | 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 | 306 | 149 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 130 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 51 | 38 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 45 | 45 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 24 | 17 | $0 |
Insurance plans in this area (ZIP 55110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MN | 73630 | X-ray of foot, minimum of 3 views | 71 | 28 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MD | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | MN | |
| - | MN | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MO |
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