NICHOLAS STAUB – Podiatrist, NPI 1790274066
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
Provider Addresses for NICHOLAS STAUB
12303 DE PAUL DR
BRIDGETON, MO 630442512
Phone: (314) 344-7545
Type: Location
14102, Ridgemont Drive, Townhomes of Timber Hills, Urbandale, Polk County, Iowa, 50323, United States
URBANDALE, IA 503232485
Phone: (515) 360-9999
Type: Mailing
12303 De Paul Dr
Bridgeton, MO 630442512
Phone: (314) 344-7545
Type: Location
6625 LYNDALE AVE S STE 300
RICHFIELD, MN 554232491
Phone: (612) 788-8778
Fax: (612) 869-3473
Type: Mailing
6625 LYNDALE AVE S STE 105
RICHFIELD, MN 554232673
Phone: (612) 200-8029
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $114.
Total Amount is formed as General ($114) + Research ($0) + Ownership ($0) = $114.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Stryker Corporation ($44).
Total Amount
$114
General + Research + Ownership
Payments
4
Total payment records
General Amount
$114
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $44 |
| Foundation Medical, Llc | $36 |
| Medtronic, Inc. | $33 |
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: 2021-09-03
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 |
|---|---|---|---|---|
| I20210903000541 | I | Podiatry | MN | 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 | 503 | 219 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 206 | 95 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 126 | 126 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 125 | 66 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 71 | 59 | $0 |
Insurance plans in this area (ZIP 63044)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MD | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | MN | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | MN | |
| - | MN | |
| P O D I A T R Y | MI |
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