DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) – Podiatrist, NPI 1588073290

DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) is a healthcare provider. based in Santa fe, New Mexico. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. POD401 (NM). The NPI Number for DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) is 1588073290

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.)
NPI
1588073290
Phone
(505) 395-9575
Address
404 BRUNN SCHOOL RD
Enumeration Date
6 August 2014
Last Update Date
28 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5053959575
Graduation Year
2014 (12 years ago)
PAC ID
7214296904
Group Practice PAC ID
3072844661
Professional Enrollment ID
I20180126000783
Address ID
NM875051102SA404XXRDXX404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

141 PODIATRY in NM

Provider Addresses for DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.)

  • 404 BRUNN SCHOOL RD

    SANTA FE, NM 875051102

    Phone: (505) 395-9575

    Fax: (877) 540-1253

    Type: Location

  • 772 W SOUTHAMPTON CT

    FARMINGTON, UT 840254229

    Phone:

    Type: Mailing

  • 2019 GALISTEO ST STE K

    SANTA FE, NM 875052159

    Phone: (505) 395-9575

    Fax: (877) 540-1253

    Type: Location

  • 1399 Weimer Rd Ste 400

    Taos, NM 875716348

    Phone: (575) 214-8521

    Fax: (877) 540-1253

    Type: Location

  • 2019 Galisteo St Ste K

    Santa Fe, NM 875052159

    Phone: (505) 395-9575

    Fax: (877) 540-1253

    Type: Location

  • PO BOX 540610

    N SALT LAKE, UT 840540610

    Phone: (801) 505-0821

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-07-03 • Largest payer in this snapshot: Stryker Corporation ($265).

Total Amount

$405

General + Research + Ownership

Payments

6

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$265
ABBVIE INC.$140
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: 2018-01-26

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
I20180126000783IPodiatryNMTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails202142$0
99213Established patient office or other outpatient visit, 20-29 minutes188148$0
99212Established patient office or other outpatient visit, 10-19 minutes8274$0
99203New patient office or other outpatient visit, 30-44 minutes6161$0
11056Removal of noncancer thickened skin growth, 2-4 growths4134$0
View full utilization report →

Insurance plans in this area (ZIP 87505)

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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: 3072844661View full group profile
NameSpecialtyState
P O D I A T R YNM

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Frequently asked questions

How is DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) with NPI 1588073290.
Is DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) listed as active for patients and plans?
The listing shows DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) as active in the NPI system.
What is DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.)'s specialty?
The listing groups DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) with Podiatrist. Clinical services aligned with this taxonomy classification.
What area does DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.) serve?
DR. MICHELLE ELIZABETH LEONARD DEITHLOFF (D.P.M.)'s listing highlights Santa Fe, New Mexico; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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