TERA SANTISTEVAN (DPM) – Podiatrist, NPI 1588174841
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
122 PODIATRY in OK
Provider Addresses for TERA SANTISTEVAN (DPM)
400 S. MISSION ST.
SAPULPA, OK 74066
Phone: (918) 494-2902
Fax: (918) 494-2905
Type: Location
Advocate Children's Hospital, 4440, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604532600
Phone: (708) 684-5682
Type: Mailing
701 W. ELGIN ST.
BROKEN ARROW, OK 74012
Phone: (918) 494-2902
Fax: (918) 494-2905
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $504.
Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($200).
Total Amount
$504
General + Research + Ownership
Payments
15
Total payment records
General Amount
$504
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $200 |
| Organogenesis Inc. | $86 |
| Stryker Corporation | $69 |
| Medline Industries LP | $46 |
| Innovation Technologies Inc | $37 |
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: 2021-09-30
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 |
|---|---|---|---|---|
| I20210930002205 | I | Podiatry | OK | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 104 | 88 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 77 | 49 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 76 | 76 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 54 | 50 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 27 | 22 | $0 |
Insurance plans in this area (ZIP 74066)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| - | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK | |
| P O D I A T R Y | OK |
Reviews
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