SPENCER TAYLOR PICKETT (DPM) – Podiatrist, NPI 1104453273

SPENCER TAYLOR PICKETT (DPM) is a healthcare provider. based in Parma, Ohio. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2093 (NV). The NPI Number for SPENCER TAYLOR PICKETT (DPM) is 1104453273

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
SPENCER TAYLOR PICKETT (DPM)
NPI
1104453273
Phone
(801) 803-8793
Address
5232 W 52ND ST
Enumeration Date
26 March 2020
Last Update Date
15 November 2023

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7753311919
Graduation Year
2020 (6 years ago)
PAC ID
5193170082
Group Practice PAC ID
0446536601
Professional Enrollment ID
I20231012002199
Address ID
NV894318715SP2321XWAYX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

198 PODIATRY in UT

Provider Addresses for SPENCER TAYLOR PICKETT (DPM)

  • 5232 W 52ND ST

    PARMA, OH 441341024

    Phone: (801) 803-8793

    Type: Mailing

  • 5169 S COTTONWOOD ST STE 303

    MURRAY, UT 841076768

    Phone: (801) 507-3747

    Type: Location

  • 2321 PYRAMID WAY

    SPARKS, NV 894318716

    Phone: (763) 311-9197

    Fax: (775) 331-2008

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $786.

Total Amount is formed as General ($786) + Research ($0) + Ownership ($0) = $786.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Stryker Corporation ($223).

Total Amount

$786

General + Research + Ownership

Payments

18

Total payment records

General Amount

$786

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2023-10-12

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
I20231012002199IPodiatryNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44134)

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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: 0446536601View full group profile
NameSpecialtyState
P O D I A T R YNV

Reviews

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Frequently asked questions

How do I look up SPENCER TAYLOR PICKETT (DPM) by NPI?
Use NPI 1104453273 when you need to reference SPENCER TAYLOR PICKETT (DPM) in forms, claims, or directories.
Is SPENCER TAYLOR PICKETT (DPM) active in the national directory?
SPENCER TAYLOR PICKETT (DPM)'s public NPI profile is in an active state.
Can you summarize SPENCER TAYLOR PICKETT (DPM)'s specialty in plain language?
Clinically, the directory lists SPENCER TAYLOR PICKETT (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Does SPENCER TAYLOR PICKETT (DPM) practice in Ohio?
You will see Parma, Ohio on file for SPENCER TAYLOR PICKETT (DPM) alongside any extra practice locations.
Is SPENCER TAYLOR PICKETT (DPM) a real provider?
This page reflects official NPPES data for NPI 1104453273. Always confirm identity and privileges with the practice and licensing boards.

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