Unknown Individual – Primary Podiatric Medicine Podiatrist, NPI 1184629396
Primary Podiatric Medicine Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Castor Avenue, Philadelphia, Philadelphia County, Pennsylvania, 19314, United States
PHILADELPHIA, PA 191522733
Phone: (215) 742-6767
Fax: (215) 742-6519
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 432 | 122 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 222 | 74 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 184 | 87 | $0 |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 82 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 81 | 50 | $0 |
Insurance plans in this area (ZIP 19152)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | PA | 11042 | Removal of skin and tissue first 20 sq cm or less | 34 | 19 |
| PODIATRY | PA | 11056 | Removal of 2 to 4 thickened skin growths | 13 | 13 |
| PODIATRY | PA | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 28 | 15 |
| PODIATRY | PA | 73630 | X-ray of foot, minimum of 3 views | 62 | 42 |
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