MR. JERRY M LIDDELL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1700872611
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
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Provider Addresses for MR. JERRY M LIDDELL (DPM)
Bernard Becker Medical Library, 660, South Euclid Avenue, Central West End, St. Louis, Missouri, 63110, United States
CB 8109
SAINT LOUIS, MO 631101010
Phone: (314) 953-8300
Fax: (314) 996-8703
Type: Mailing
Barnes-Jewish Center for Outpatient Health, 4901, Forest Park Avenue, Central West End, St. Louis, Missouri, 63108, United States
DIV SURG ACCS PODIATRY, STE 420
SAINT LOUIS, MO 631081495
Phone: (314) 747-4769
Fax: (888) 824-2176
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 747-4769
Fax: (888) 824-2176
Type: Mailing
1020 N MASON RD
DIV SURG ACCS PODIATRY, STE 225
SAINT LOUIS, MO 631416666
Phone: (314) 747-4769
Fax: (888) 824-2176
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $1,490.
Total Amount is formed as General ($1,490) + Research ($0) + Ownership ($0) = $1,490.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Organogenesis Inc. ($603).
Total Amount
$1,490
General + Research + Ownership
Payments
71
Total payment records
General Amount
$1,490
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $603 |
| Integra LifeSciences Corporation | $468 |
| Kerecis Limited | $246 |
| Horizon Therapeutics plc | $116 |
| Hydrofera LLC | $21 |
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: 2005-08-31
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 |
|---|---|---|---|---|
| I20050831000541 | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 161 | 33 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 141 | 75 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 68 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 67 | 49 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 56 | 52 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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