EDWARD C III ELLIOTT – Orthopaedic Foot and Ankle Surgery Physician, NPI 1083957088
Orthopaedic Foot and Ankle Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,038 PODIATRY in IL
Provider Addresses for EDWARD C III ELLIOTT
PO BOX 1189
CORVALLIS, OR 973391189
Phone:
Type: Mailing
2 MEMORIAL DR STE 305
DECATUR, IL 625263999
Phone: (217) 876-4830
Fax: (217) 876-8385
Type: Location
675 N 5th St
Lebanon, OR 973552875
Phone: (541) 451-6282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Stryker Corporation ($46).
Total Amount
$155
General + Research + Ownership
Payments
7
Total payment records
General Amount
$155
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 |
|---|---|
| Stryker Corporation | $46 |
| Organogenesis Inc. | $40 |
| Daiichi Sankyo Inc. | $31 |
| TREACE MEDICAL CONCEPTS, INC. | $22 |
| Smith+Nephew, Inc. | $15 |
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: 2024-09-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160928000262 | I | Podiatry | IL | TBD |
| I20240903000747 | I | Podiatry | OR | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 336 | 232 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 276 | 171 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 255 | 114 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 196 | 87 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 196 | 196 | $0 |
Insurance plans in this area (ZIP 97339)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Physician Assistant | OR | |
| Hospitalist, Internal Medicine | OR | |
| - | OR | |
| Certified Registered Nurse Anesthetist (Crna) | OR | |
| Physician Assistant | OR | |
| Family Practice | OR |
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