DR. SAMUEL GERVAIS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1396150793
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 PODIATRY in MN
Provider Addresses for DR. SAMUEL GERVAIS (DPM)
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone: (763) 587-4200
Fax: (952) 853-8727
Type: Mailing
2220 Riverside Ave
Minneapolis, MN 554541321
Phone: (612) 341-5000
Fax: (612) 371-1673
Type: Location
8170 33RD AVE S
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (763) 587-4200
Fax: (763) 587-4205
Type: Mailing
601 JACOB LN
ANOKA, MN 55303
Phone: (763) 587-4200
Fax: (763) 587-4205
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 $172.
Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.
Last reported payment date: 2023-11-10 • Largest payer in this snapshot: Stryker Corporation ($172).
Total Amount
$172
General + Research + Ownership
Payments
1
Total payment records
General Amount
$172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $172 |
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: 2017-08-16
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 |
|---|---|---|---|---|
| I20170816003271 | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 83 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 15 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
Reviews
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