JASON RAY SURRATT (DPM) – Podiatrist, NPI 1649386541
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
213 PODIATRY in OR
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Provider Addresses for JASON RAY SURRATT (DPM)
Legacy Laboratory Services, 9900, Southwest Hall Boulevard, Metzger, Tigard, Washington County, Oregon, 97223, United States
SUITE 100
TIGARD, OR 97223
Phone: (503) 245-2420
Fax: (503) 245-2445
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 9 Open Payments records for all available years, with a total value of $204.
Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($63).
Total Amount
$204
General + Research + Ownership
Payments
9
Total payment records
General Amount
$204
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $63 |
| Nevro Corp. | $53 |
| Paragon 28, Inc. | $32 |
| Smith+Nephew, Inc. | $26 |
| Organogenesis 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: 2004-04-14
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 |
|---|---|---|---|---|
| I20040414000841 | 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 | 160 | 93 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 102 | 62 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 60 | 40 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 56 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
Insurance plans in this area (ZIP 97223)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | OR | |
| P O D I A T R Y | CA | |
| P O D I A T R Y | AZ | |
| P O D I A T R Y | OR | |
| P A T H O L O G Y | OR | |
| P O D I A T R Y | OR | |
| Physical Therapist In Private Practice | OR | |
| P O D I A T R Y | OR | |
| Physical Therapist In Private Practice | OR | |
| P O D I A T R Y | OR |
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