Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1710974316
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1540, East Evergreen Street, Doling Park, Springfield, Greene County, Missouri, 65803, United States
SPRINGFIELD, MO 658034300
Phone: (417) 823-2900
Fax: (417) 823-2980
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)
CMS reports 3 Open Payments records for all available years, with a total value of $137.
Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.
Last reported payment date: 2024-02-22 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($107).
Total Amount
$137
General + Research + Ownership
Payments
3
Total payment records
General Amount
$137
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $107 |
| Abbott Laboratories | $16 |
| Collegium Pharmaceutical, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 148 | 81 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 83 | 83 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 27 | 26 | $0 |
| 20550 | Injection into tendon or ligament | 17 | 12 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 16 | 11 | $0 |
Insurance plans in this area (ZIP 65803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Geriatric Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Clinical Psychologist | MO | |
| Clinical Social Worker | MO | |
| - | OK | |
| Geriatric Medicine, Family Practice | MO | |
| Clinical Social Worker | MO | |
| - | MO |
Reviews
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