DR. RONALD J SMALL (DPM) – Foot Surgery Podiatrist, NPI 1174500722

DR. RONALD J SMALL (DPM) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC003322L (PA). The NPI Number for DR. RONALD J SMALL (DPM) is 1174500722

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. RONALD J SMALL (DPM)
NPI
1174500722
Phone
(215) 924-2521
Address
104 W CHELTENHAM AVE
Enumeration Date
26 December 2005
Last Update Date
14 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
3173603800
Group Practice PAC ID
3476464298
Professional Enrollment ID
I20080107000651
Address ID
PA160665238CR2000XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,279 PODIATRY in PA

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Provider Addresses for DR. RONALD J SMALL (DPM)

  • West Cheltenham Avenue, West Oak Lane, North Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19095, United States

    PHILADELPHIA, PA 191201027

    Phone: (215) 924-2521

    Fax: (215) 924-2367

    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 $163.

Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Averitas Pharma Inc. ($163).

Total Amount

$163

General + Research + Ownership

Payments

5

Total payment records

General Amount

$163

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Averitas Pharma Inc.$163
View all Open Payments →|Open Payments Risk Radar →

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: 2008-01-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080107000651IPodiatryPATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes228167$0
99202New patient office or other outpatient visit, 15-29 minutes145145$0
G0127Trimming of dystrophic nails, any number14345$0
11721Removal of fingernails or toenails, 6 or more nails14252$0
99212Established patient office or other outpatient visit, 10-19 minutes141100$0
View full utilization report →

Insurance plans in this area (ZIP 19120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476464298View full group profile
NameSpecialtyState
N E U R O L O G YPA
Family PracticePA
Emergency MedicinePA
Family PracticePA
Family PracticePA
Orthopedic SurgeryPA
Physician AssistantPA
Internal MedicineMA
Physician AssistantPA
Orthopedic SurgeryPA

Reviews

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Frequently asked questions

How is DR. RONALD J SMALL (DPM) identified in CMS data?
CMS-hosted NPPES data lists DR. RONALD J SMALL (DPM) with NPI 1174500722.
Does CMS list DR. RONALD J SMALL (DPM) as active?
Yes — DR. RONALD J SMALL (DPM) is active in the NPI listing used on this page.
What is DR. RONALD J SMALL (DPM) best known for clinically?
Directory data describes DR. RONALD J SMALL (DPM) with Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What area does DR. RONALD J SMALL (DPM) serve?
DR. RONALD J SMALL (DPM)'s listing highlights Philadelphia, Pennsylvania; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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