ELLIOTT WITYK (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1568922979

ELLIOTT WITYK (DPM) is a healthcare provider. based in Fort worth, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2008015501 (MO). The NPI Number for ELLIOTT WITYK (DPM) is 1568922979

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ELLIOTT WITYK (DPM)
NPI
1568922979
Phone
(817) 702-3431
Address
1500 S MAIN ST
Enumeration Date
21 March 2019
Last Update Date
16 December 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8165794383
Graduation Year
2019 (7 years ago)
PAC ID
2365823580
Group Practice PAC ID
9234402470
Professional Enrollment ID
I20240617000518
Address ID
MO640159501BL20551PLXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

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Provider Addresses for ELLIOTT WITYK (DPM)

  • John Peter Smith Hospital, 1500, South Main Street, Fort Worth, Tarrant County, Texas, 76104, United States

    FORT WORTH, TX 761044917

    Phone: (817) 702-3431

    Type: Location

  • 11340 Nall Ave Ste 200

    Leawood, KS 662111234

    Phone: (816) 525-2840

    Fax: (816) 525-2841

    Type: Location

  • 2861 NE INDEPENDENCE AVE STE 201

    LEES SUMMIT, MO 640642379

    Phone: (816) 525-2840

    Fax: (816) 525-2841

    Type: Mailing

  • 3301 GOLDEN TRIANGLE BLVD

    FORT WORTH, TX 761777165

    Phone: (817) 540-4477

    Fax: (817) 540-5633

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $2,898.

Total Amount is formed as General ($2,898) + Research ($0) + Ownership ($0) = $2,898.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Stryker Corporation ($1,848).

Total Amount

$2,898

General + Research + Ownership

Payments

64

Total payment records

General Amount

$2,898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2024-06-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20220720000471IPodiatryTXTBD
I20240401000274IPodiatryMOTBD
I20240617000518IPodiatryKSTBD

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 minutes283153$0
73630X-ray of foot, minimum of 3 views241138$0
99203New patient office or other outpatient visit, 30-44 minutes135135$0
73610X-ray of ankle, minimum of 3 views9545$0
J1100Injection, dexamethasone sodium phosphate, 1 mg9217$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 9234402470View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Orthopedic SurgeryMO
Qualified Speech Language PathologistKS
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeSD
-KS
-MO
-MO

Reviews

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Frequently asked questions

How do I look up ELLIOTT WITYK (DPM) by NPI?
Use NPI 1568922979 when you need to reference ELLIOTT WITYK (DPM) in forms, claims, or directories.
Does this profile mean ELLIOTT WITYK (DPM) is currently active?
Yes — ELLIOTT WITYK (DPM) appears active in the national provider directory.
What kind of provider is ELLIOTT WITYK (DPM)?
The page reflects Foot & Ankle Surgery Podiatrist for ELLIOTT WITYK (DPM). Clinical services aligned with this taxonomy classification.
Where is ELLIOTT WITYK (DPM)'s primary listing?
We display Fort Worth, Texas because that is what the record indicates for ELLIOTT WITYK (DPM).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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