MICHAEL KOOYMAN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1487645370
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
120 PODIATRY in NV
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Provider Addresses for MICHAEL KOOYMAN (DPM)
PO BOX 15645
LAS VEGAS, NV 891145645
Phone: (702) 565-6641
Fax: (702) 565-9249
Type: Mailing
2649, West Horizon Ridge Parkway, Sunridge Heights, Henderson, Clark County, Nevada, 89052, United States
100
HENDERSON, NV 890524801
Phone: (702) 565-6641
Fax: (702) 565-9249
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $1,105.
Total Amount is formed as General ($1,105) + Research ($0) + Ownership ($0) = $1,105.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Organogenesis Inc. ($585).
Total Amount
$1,105
General + Research + Ownership
Payments
17
Total payment records
General Amount
$1,105
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $585 |
| Linvatec Corporation | $145 |
| LifeNet Health | $126 |
| ABBVIE INC. | $43 |
| TREACE MEDICAL CONCEPTS, INC. | $39 |
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: 2007-09-18
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 |
|---|---|---|---|---|
| I20070918000540 | I | Podiatry | NV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| - | NV | |
| - | NV | |
| - | NV | |
| Family Practice | NV | |
| - | CA | |
| Nurse Practitioner | NV | |
| Family Practice | NV | |
| Family Practice | NV | |
| - | NV |
Reviews
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