DR. SHINE JOHN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1245407295
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,097 PODIATRY in TX
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Provider Addresses for DR. SHINE JOHN (DPM)
11614 FM 2244 RD STE 150
AUSTIN, TX 787385471
Phone: (512) 399-5711
Fax: (512) 399-5707
Type: Mailing
601, East Whitestone Boulevard, Cedar Park, Williamson County, Texas, 78613, United States
SUITE 226
CEDAR PARK, TX 786139015
Phone: (512) 259-3338
Fax: (512) 528-1472
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $2,225.
Total Amount is formed as General ($2,225) + Research ($0) + Ownership ($0) = $2,225.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Stryker Corporation ($646).
Total Amount
$2,225
General + Research + Ownership
Payments
42
Total payment records
General Amount
$2,225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $646 |
| TREACE MEDICAL CONCEPTS, INC. | $473 |
| Medtronic, Inc. | $369 |
| Abbott Laboratories | $156 |
| AstraZeneca Pharmaceuticals LP | $98 |
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: 2009-09-24
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 |
|---|---|---|---|---|
| I20090924000051 | I | Podiatry | TX | 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 | 194 | 95 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 139 | 91 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 87 | 87 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 78738)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | TX | 73630 | X-ray of foot, minimum of 3 views | 91 | 60 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| Family Practice, Geriatric Medicine | TX | |
| - | TX |
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