JULIA DAFFORN – Foot & Ankle Surgery Podiatrist, NPI 1235868860

JULIA DAFFORN is a healthcare provider. based in Brideton, Missouri. specializing in PODIATRY. They hold a License No. 213ES0103X (MO). The NPI Number for JULIA DAFFORN is 1235868860

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JULIA DAFFORN
NPI
1235868860
Phone
(314) 344-7545
Address
12303 depaul drive
Enumeration Date
8 June 2022
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7024342023
Graduation Year
2022 (4 years ago)
PAC ID
3476042367
Group Practice PAC ID
7517999121
Professional Enrollment ID
I20251030002726
Address ID
NV891214265LA3777XMCLE302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

285 PODIATRY in MO

Provider Addresses for JULIA DAFFORN

  • 12303 depaul drive

    brideton, MO 63044

    Phone: (314) 344-7545

    Type: Location

  • 138 HEMSTEAD ST

    LAKE BLUFF, IL 600441155

    Phone: (760) 662-1292

    Type: Mailing

  • 12255 DEPAUL DRIVE

    STE 705

    BRIDGETON, MO 63044

    Phone: (314) 344-7545

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $649.

Total Amount is formed as General ($649) + Research ($0) + Ownership ($0) = $649.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($231).

Total Amount

$649

General + Research + Ownership

Payments

12

Total payment records

General Amount

$649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030002726IPodiatryNVTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63044)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517999121View full group profile
NameSpecialtyState
P O D I A T R YUT
P O D I A T R YNM
Nurse PractitionerUT
Nurse PractitionerUT
P O D I A T R YUT
P O D I A T R YPA
P O D I A T R YUT
P O D I A T R YOH
P O D I A T R YWA
P O D I A T R YNM

Reviews

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Frequently asked questions

Can I cross-check JULIA DAFFORN using NPI 1235868860?
NPI 1235868860 belongs to JULIA DAFFORN; compare other details if you need extra assurance.
Is there an active status for JULIA DAFFORN?
For scheduling context, JULIA DAFFORN is shown as active in the registry.
What kind of doctor is JULIA DAFFORN?
JULIA DAFFORN is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JULIA DAFFORN?
Travel planning: use Brideton, Missouri as the reference point for JULIA DAFFORN, then confirm.
When was this NPI issued?
Enumeration for JULIA DAFFORN is noted as June 8, 2022 where the registry provides it.

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