ETHAN JAMES KNOWLTON – Foot & Ankle Surgery Podiatrist, NPI 1134652977
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
Provider Addresses for ETHAN JAMES KNOWLTON
29 NW 1st Ln
LaMar, MO 647598105
Phone: (000) 000-0000
Type: Location
403 main st
golden city, MO 64748
Phone: (000) 000-0000
Type: Location
75 Smithson Dr Ste A
Cassville, MO 656259429
Phone: (000) 000-0000
Type: Location
Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States
WORCESTER, MA 016081216
Phone: (508) 363-6350
Type: Mailing
1010 CARONDELET DR STE 301
KANSAS CITY, MO 641144823
Phone: (816) 943-1111
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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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: 2020-06-16
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 |
|---|---|---|---|---|
| I20200616000715 | I | Podiatry | MO | 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 | 667 | 509 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 536 | 450 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 511 | 381 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 423 | 319 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 338 | 297 | $0 |
Insurance plans in this area (ZIP 64759)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO |
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