MR. KEVIN A NETTESHEIM (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1366445314
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. KEVIN A NETTESHEIM (DPM)
Butler Hill Road, Concord, Saint Louis County, Missouri, 63128, United States
SAINT LOUIS, MO 631283718
Phone: (314) 849-9009
Fax: (314) 849-9004
Mailing address matches the actual address.
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: 2010-11-03
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 |
|---|---|---|---|---|
| I20101103000266 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 224 | 107 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 112 | 83 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 70 | 70 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 49 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 37 | 32 | $0 |
Insurance plans in this area (ZIP 63128)
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Provider's Procedures
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