DR. COLIN MATTHEW MIZUO (DPM) – Podiatrist, NPI 1427410679
Podiatrist
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
Provider Addresses for DR. COLIN MATTHEW MIZUO (DPM)
2875 NE Stucki Ave
Hillsboro, OR 971245806
Phone: (800) 813-2000
Type: Location
4212 NE Broadway Ste 101
Portland, OR 972131422
Phone: (503) 963-2964
Fax: (503) 963-2966
Type: Location
541 NE 20TH AVE STE 225
PORTLAND, OR 972322895
Phone: (503) 963-2801
Fax: (503) 963-2825
Type: Mailing
5050 NE HOYT ST STE 223
PORTLAND, OR 972132980
Phone: (503) 963-2964
Fax: (503) 963-2966
Type: Location
1550 NW NAITO PKWY APT 225
PORTLAND, OR 972094179
Phone: (214) 629-1409
Fax: (301) 588-3419
Type: Mailing
1827 NE 44TH AVE STE 100
PORTLAND, OR 972131443
Phone: (503) 284-2000
Type: Location
Naval Hospital Camp Lejeune, 100, Brewster Boulevard, Marine Corps Base Camp Lejeune, Onslow County, North Carolina, 28547, United States
CAMP LEJEUNE, NC 285472575
Phone: (910) 450-4300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $2,953.
Total Amount is formed as General ($2,953) + Research ($0) + Ownership ($0) = $2,953.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Supreme Orthopedic Systems, LLC ($874).
Total Amount
$2,953
General + Research + Ownership
Payments
46
Total payment records
General Amount
$2,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supreme Orthopedic Systems, LLC | $874 |
| Arthrex, Inc. | $625 |
| Stryker Corporation | $497 |
| Integra LifeSciences Corporation | $187 |
| Kerecis Limited | $166 |
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: 2025-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20221129000095 | I | Podiatry | DC | TBD |
| I20231227001491 | I | Podiatry | MD | TBD |
| I20250408001579 | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 498 | 253 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 208 | 103 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 154 | 154 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 88 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 138 | 96 | $0 |
Insurance plans in this area (ZIP 97124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | OR | |
| - | OR | |
| O T O L A R Y N G O L O G Y | OR | |
| Internal Medicine, Gastroenterology | OR | |
| Gastroenterology, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Qualified Audiologist | OR | |
| Physician Assistant | OR | |
| N E U R O S U R G E R Y | OR |
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