LANDON RYAN BOWERBANK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1083234975

LANDON RYAN BOWERBANK (DPM) is a healthcare provider. based in Toledo, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 13221936-0501 (UT). The NPI Number for LANDON RYAN BOWERBANK (DPM) is 1083234975

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LANDON RYAN BOWERBANK (DPM)
NPI
1083234975
Phone
(419) 251-9495
Address
2213 CHERRY ST
Enumeration Date
21 April 2020
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8019014333
Graduation Year
2020 (6 years ago)
PAC ID
8527480318
Professional Enrollment ID
I20230712000413
Address ID
UT840435511LE3300XWAYX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

953 PODIATRY in OH

Provider Addresses for LANDON RYAN BOWERBANK (DPM)

  • 2213 CHERRY ST

    TOLEDO, OH 436082603

    Phone: (419) 251-9495

    Fax: (419) 251-3271

    Type: Mailing

  • 3300 N RUNNING CREEK WAY BLDG C SUITE 300

    BLDG C SUITE 300

    LEHI, UT 840433654

    Phone: (801) 901-4333

    Fax: (801) 901-4268

    Type: Mailing

  • 3130 S Highland Dr Ste 84

    Millcreek, UT 841063095

    Phone: (801) 253-6886

    Fax: (801) 253-6888

    Type: Location

  • 3715 W 4100 S Ste 150

    West Valley, UT 841205552

    Phone: (801) 253-6886

    Fax: (801) 253-6888

    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 $632.

Total Amount is formed as General ($632) + Research ($0) + Ownership ($0) = $632.

Last reported payment date: 2024-11-05 • Largest payer in this snapshot: Integra LifeSciences Corporation ($219).

Total Amount

$632

General + Research + Ownership

Payments

17

Total payment records

General Amount

$632

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-05

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: 2023-07-12

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
I20230712000413IPodiatryUTTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4328$0
99203New patient office or other outpatient visit, 30-44 minutes2929$0
73630X-ray of foot, minimum of 3 views1612$0
View full utilization report →

Insurance plans in this area (ZIP 43608)

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Reviews

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Frequently asked questions

Does LANDON RYAN BOWERBANK (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LANDON RYAN BOWERBANK (DPM) uses 1083234975.
Is LANDON RYAN BOWERBANK (DPM) still practicing?
LANDON RYAN BOWERBANK (DPM) is currently listed as active in the public NPI registry.
What is LANDON RYAN BOWERBANK (DPM) best known for clinically?
Directory data describes LANDON RYAN BOWERBANK (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect LANDON RYAN BOWERBANK (DPM) on a map?
Expect Toledo, Ohio as a primary anchor for LANDON RYAN BOWERBANK (DPM) unless the record lists multiple sites.
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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