DR. ZACHARY DANIEL MIRONOV (DPM) – Podiatrist, NPI 1306475546

DR. ZACHARY DANIEL MIRONOV (DPM) is a healthcare provider. based in Allentown, Pennsylvania. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. SC007323 (PA). The NPI Number for DR. ZACHARY DANIEL MIRONOV (DPM) is 1306475546

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. ZACHARY DANIEL MIRONOV (DPM)
NPI
1306475546
Phone
(610) 330-9740
Address
2895 HAMILTON BLVD STE 101
Enumeration Date
8 April 2020
Last Update Date
13 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6103309740
Graduation Year
2020 (6 years ago)
PAC ID
0446624647
Group Practice PAC ID
8527399591
Professional Enrollment ID
I20230329000646
Address ID
PA181046172AL2895XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,279 PODIATRY in PA

Provider Addresses for DR. ZACHARY DANIEL MIRONOV (DPM)

  • 2895 HAMILTON BLVD STE 101

    ALLENTOWN, PA 181046172

    Phone: (610) 330-9740

    Type: Mailing

  • 12 SHY CREEK RD

    PITTSTOWN, NJ 088675156

    Phone: (908) 892-5991

    Type: Mailing

  • 1945 STATE ROUTE 33

    NEPTUNE, NJ 077534859

    Phone: (732) 775-5500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 62 Open Payments records for all available years, with a total value of $3,787.

Total Amount is formed as General ($3,787) + Research ($0) + Ownership ($0) = $3,787.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ConvaTec Inc. ($1,693).

Total Amount

$3,787

General + Research + Ownership

Payments

62

Total payment records

General Amount

$3,787

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-03-29

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
I20230329000646IPodiatryPATBD

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
11720Removal of fingernails or toenails, 1-5 nails10577$0
G0127Trimming of dystrophic nails, any number9973$0
11056Removal of noncancer thickened skin growth, 2-4 growths6757$0
99213Established patient office or other outpatient visit, 20-29 minutes6347$0
11721Removal of fingernails or toenails, 6 or more nails5444$0
View full utilization report →

Insurance plans in this area (ZIP 18104)

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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: 8527399591View full group profile
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Reviews

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Frequently asked questions

What number should I use to identify DR. ZACHARY DANIEL MIRONOV (DPM) for billing?
Administrative and clinical systems typically use NPI 1306475546 for DR. ZACHARY DANIEL MIRONOV (DPM).
Is DR. ZACHARY DANIEL MIRONOV (DPM)'s NPI status active today?
Active status means DR. ZACHARY DANIEL MIRONOV (DPM)'s NPI record is not deactivated in the public file.
How should patients interpret DR. ZACHARY DANIEL MIRONOV (DPM)'s specialty?
The extract shows Podiatrist for DR. ZACHARY DANIEL MIRONOV (DPM). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ZACHARY DANIEL MIRONOV (DPM)?
DR. ZACHARY DANIEL MIRONOV (DPM) is associated with Allentown, Pennsylvania in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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