Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1548408669
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1050 SW 3RD AVE STE 400
ONTARIO, OR 979142197
Phone: (541) 881-1319
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 5 Open Payments records for all available years, with a total value of $895.
Total Amount is formed as General ($895) + Research ($0) + Ownership ($0) = $895.
Last reported payment date: 2024-02-12 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($565).
Total Amount
$895
General + Research + Ownership
Payments
5
Total payment records
General Amount
$895
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $565 |
| Zimmer Biomet Holdings, Inc. | $179 |
| Paragon 28, Inc. | $93 |
| Integra LifeSciences Corporation | $58 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 446 | 69 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 315 | 113 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 262 | 179 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 163 | 163 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 137 | 58 | $0 |
Insurance plans in this area (ZIP 97914)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | OR | 73630 | X-ray of foot, minimum of 3 views | 98 | 64 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| - | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| General Surgery | OR | |
| Physician Assistant | ID | |
| General Surgery | ID | |
| O T O L A R Y N G O L O G Y | ID | |
| Physician Assistant | ID |
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