DR. JEROME M PRIVITERA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1639173628
Foot & Ankle Surgery 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 DR. JEROME M PRIVITERA (DPM)
Lake Health Mentor Campus, 9485, Mentor Avenue, Mentor, Lake County, Ohio, 44060, United States
STE 200
MENTOR, OH 440608723
Phone: (440) 205-5878
Fax: (440) 205-5875
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 2 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2023-12-05 • Largest payer in this snapshot: Smith+Nephew, Inc. ($111).
Total Amount
$220
General + Research + Ownership
Payments
2
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $111 |
| ConvaTec Inc. | $110 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110325000473 | 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 |
|---|---|---|---|---|
| 11720 | Removal of fingernails or toenails, 1-5 nails | 870 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 422 | 189 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 104 | 19 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 91 | 91 | $0 |
| 11719 | Trimming of fingernails or toenails | 62 | 19 | $0 |
Insurance plans in this area (ZIP 44060)
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Provider's Procedures
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