DIMITRIOS SPIROS MANTZOROS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1285660803
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 DIMITRIOS SPIROS MANTZOROS (DPM)
100, Medical Center Boulevard, Conroe, Montgomery County, Texas, 77304, United States
STE 216
CONROE, TX 773042888
Phone: (936) 756-9191
Fax: (936) 756-9197
Type: Mailing
1020 RIVERWOOD CT STE 220
CONROE, TX 773042974
Phone: (936) 756-9191
Fax: (936) 756-9197
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,751.
Total Amount is formed as General ($1,751) + Research ($0) + Ownership ($0) = $1,751.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: ConvaTec Inc. ($1,045).
Total Amount
$1,751
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,751
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $1,045 |
| TREACE MEDICAL CONCEPTS, INC. | $595 |
| Stryker Corporation | $90 |
| Siemens Medical Solutions USA, Inc. | $21 |
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: 2003-11-21
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 |
|---|---|---|---|---|
| I20031121000261 | 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 | 157 | 73 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 122 | 61 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 121 | 43 | $0 |
| 73620 | X-ray of foot, 2 views | 106 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 65 | 65 | $0 |
Insurance plans in this area (ZIP 77304)
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