AVERY MASON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1912585704

AVERY MASON (DPM) is a healthcare provider. based in Hastings, Nebraska. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5951001410 (MI). The NPI Number for AVERY MASON (DPM) is 1912585704

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
AVERY MASON (DPM)
NPI
1912585704
Phone
(402) 751-0600
Address
306 W 2ND ST
Enumeration Date
1 April 2021
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4027510600
Graduation Year
2021 (5 years ago)
PAC ID
2961804307
Group Practice PAC ID
7810300282
Professional Enrollment ID
I20240613001509
Address ID
NE689017532HA306XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:5State licenses:2Digital endpointsOther names

753 PODIATRY in MI

Provider Addresses for AVERY MASON (DPM)

  • 306 W 2ND ST

    HASTINGS, NE 689017532

    Phone: (402) 751-0600

    Fax: (402) 751-0800

    Type: Mailing

  • 22201 MOROSS RD STE 250

    DETROIT, MI 482362175

    Phone: (313) 343-3423

    Fax: (313) 343-3401

    Type: Mailing

  • 815 S MAPLE ST

    NORTH PLATTE, NE 691015282

    Phone: (308) 532-3600

    Fax: (308) 532-6288

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 61 Open Payments records for all available years, with a total value of $10,869.

Total Amount is formed as General ($10,869) + Research ($0) + Ownership ($0) = $10,869.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ACUMED LLC ($3,456).

Total Amount

$10,869

General + Research + Ownership

Payments

61

Total payment records

General Amount

$10,869

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-06-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240613001509IPodiatryNETBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810300282View full group profile
NameSpecialtyState
Physician AssistantNE
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YNY
Physician AssistantNE

Reviews

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Frequently asked questions

What is the standard ID for AVERY MASON (DPM) in the U.S.?
In the U.S., AVERY MASON (DPM) is identified by NPI 1912585704.
Does the public listing show AVERY MASON (DPM) as active?
AVERY MASON (DPM)'s NPI record reflects an active status in NPPES.
What services align with AVERY MASON (DPM)'s listing?
AVERY MASON (DPM)'s public classification highlights Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to AVERY MASON (DPM)?
AVERY MASON (DPM) is associated with Hastings, Nebraska in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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