JOHN SHALLEY CARROLL (DPM) – Podiatrist, NPI 1417956483
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
953 PODIATRY in OH
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Provider Addresses for JOHN SHALLEY CARROLL (DPM)
609, Ford Street, Maumee Historic District, Maumee, Lucas County, Ohio, 43537, United States
MAUMEE, OH 435371947
Phone: (419) 893-5539
Fax: (419) 893-6853
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($37).
Total Amount
$100
General + Research + Ownership
Payments
4
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-09-15
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 |
|---|---|---|---|---|
| I20040915001256 | I | Podiatry | OH | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 725 | 221 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 147 | 83 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 105 | 55 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 74 | 39 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 73 | 33 | $0 |
Insurance plans in this area (ZIP 43537)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OH | 11056 | Removal of 2 to 4 thickened skin growths | 27 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH | |
| P O D I A T R Y | OH |
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