DR. LAURENCE W SPIVACK (DPM) – Podiatrist, NPI 1043215817

DR. LAURENCE W SPIVACK (DPM) is a healthcare provider. based in Mentor, Ohio. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. 36001535 (OH). The NPI Number for DR. LAURENCE W SPIVACK (DPM) is 1043215817

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURENCE W SPIVACK (DPM)
NPI
1043215817
Phone
(440) 487-3947
Address
9330 HIDDEN GLEN DR
Enumeration Date
16 June 2005
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
-
Graduation Year
1970 (56 years ago)
PAC ID
9830391788
Professional Enrollment ID
I20110325000699
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. LAURENCE W SPIVACK (DPM)

  • Hidden Glen Drive, Mentor, Lake County, Ohio, 44060, United States

    MENTOR, OH 440607362

    Phone: (440) 487-3947

    Fax: (513) 858-7827

    Type: Mailing

  • 35010 Chardon Rd Ste 101A

    Willoughby Hills, OH 440949011

    Phone: (440) 953-3668

    Fax: (440) 953-3556

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-03-25

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
I20110325000699IPodiatryOHTBD

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
11720Removal of fingernails or toenails, 1-5 nails13249$0
G0127Trimming of dystrophic nails, any number12749$0
11056Removal of noncancer thickened skin growth, 2-4 growths5121$0
11055Removal of noncancer thickened skin growth, 1 growth2212$0
99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 44060)

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Reviews

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Frequently asked questions

Can I verify DR. LAURENCE W SPIVACK (DPM) with an NPI only?
You can start verification with NPI 1043215817 for DR. LAURENCE W SPIVACK (DPM), then check state licensing separately.
Is DR. LAURENCE W SPIVACK (DPM) still practicing?
DR. LAURENCE W SPIVACK (DPM) is currently listed as active in the public NPI registry.
What is DR. LAURENCE W SPIVACK (DPM) best known for clinically?
Directory data describes DR. LAURENCE W SPIVACK (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. LAURENCE W SPIVACK (DPM) on a map?
Expect Mentor, Ohio as a primary anchor for DR. LAURENCE W SPIVACK (DPM) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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