DR. AKILIS MIKE THEOHARIDIS (D.P.M) – Foot Surgery Podiatrist, NPI 1912933474
Foot Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
Provider Addresses for DR. AKILIS MIKE THEOHARIDIS (D.P.M)
2301 Holmes St
Kansas City, MO 641082640
Phone: (816) 404-0044
Fax: (816) 404-0040
Type: Location
Ankle & Foot Centers of Missouri, 407, Northeast 76th Terrace, Gladstone, Clay County, Missouri, 64118, United States
GLADSTONE, MO 641181708
Phone: (816) 436-7900
Fax: (816) 436-0999
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 38 Open Payments records for all available years, with a total value of $32,334.
Total Amount is formed as General ($32,334) + Research ($0) + Ownership ($0) = $32,334.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Averitas Pharma Inc. ($31,986).
Total Amount
$32,334
General + Research + Ownership
Payments
38
Total payment records
General Amount
$32,334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Averitas Pharma Inc. | $31,986 |
| MIMEDX Group, Inc. | $142 |
| Bone Support Inc. | $57 |
| PolyNovo North America LLC | $56 |
| Stryker Corporation | $44 |
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: 2017-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060821000527 | I | Podiatry | MO | TBD |
| I20170320001020 | I | Podiatry | KS | 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 | 768 | 325 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 310 | 228 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 167 | 167 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 166 | 68 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 144 | 101 | $0 |
Insurance plans in this area (ZIP 64108)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MO | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 94 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | MO | |
| P O D I A T R Y | FL |
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