DOUGLAS S LISTER (DPM) – Podiatrist, NPI 1295958312
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for DOUGLAS S LISTER (DPM)
PO BOX 34120
RENO, NV 895334120
Phone: (775) 747-5050
Fax: (775) 329-8596
Type: Mailing
2720 HOMESTEAD ROAD
SUITE 50
PARK CITY, UT 840984885
Phone: (435) 604-0449
Fax: (435) 649-9202
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,362.
Total Amount is formed as General ($1,362) + Research ($0) + Ownership ($0) = $1,362.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Evolution Surgical, Inc ($672).
Total Amount
$1,362
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,362
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Surgical, Inc | $672 |
| Arthrex, Inc. | $650 |
| TREACE MEDICAL CONCEPTS, INC. | $41 |
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: 2008-12-03
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 |
|---|---|---|---|---|
| I20050830000546 | I | Podiatry | CA | TBD |
| I20081203000363 | I | Podiatry | UT | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 89533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | CA | |
| Clinical Social Worker | CA | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| Emergency Medicine, Internal Medicine | CA | |
| Family Practice | CA | |
| Physician Assistant | CA | |
| - | CA |
Reviews
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