NATHAN DALY STICKNEY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1629411749

NATHAN DALY STICKNEY (DPM) is a healthcare provider. based in Grapevine, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2061 (TX). The NPI Number for NATHAN DALY STICKNEY (DPM) is 1629411749

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN DALY STICKNEY (DPM)
NPI
1629411749
Phone
(817) 416-6155
Address
2421 IRA E WOODS AVE STE 100
Enumeration Date
8 April 2013
Last Update Date
8 April 2013

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8174166155
Graduation Year
2010 (16 years ago)
PAC ID
5395989727
Group Practice PAC ID
3375503022
Professional Enrollment ID
I20130924000962
Address ID
TX760513907GR2421XAVEX503
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for NATHAN DALY STICKNEY (DPM)

  • 2421 IRA E WOODS AVE STE 100

    GRAPEVINE, TX 760513907

    Phone: (817) 416-6155

    Fax: (817) 329-9434

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $280.

Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Amgen Inc. ($76).

Total Amount

$280

General + Research + Ownership

Payments

11

Total payment records

General Amount

$280

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2013-09-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130924000962IPodiatryTXTBD

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 minutes744263$0
73630X-ray of foot, minimum of 3 views17395$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg11438$0
99203New patient office or other outpatient visit, 30-44 minutes112112$0
20600Aspiration and/or injection of fluid from small joint2820$0
View full utilization report →

Insurance plans in this area (ZIP 76051)

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Provider's Procedures

NATHAN DALY STICKNEY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYTX73630X-ray of foot, minimum of 3 views3930

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: 3375503022View full group profile

Reviews

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Frequently asked questions

Can I cross-check NATHAN DALY STICKNEY (DPM) using NPI 1629411749?
NPI 1629411749 belongs to NATHAN DALY STICKNEY (DPM); compare other details if you need extra assurance.
Active or inactive — what applies to NATHAN DALY STICKNEY (DPM)?
You should see NATHAN DALY STICKNEY (DPM) as active in CMS-hosted NPPES data.
What kind of doctor is NATHAN DALY STICKNEY (DPM)?
NATHAN DALY STICKNEY (DPM) is associated with Foot & Ankle Surgery Podiatrist in the directory — Clinical services aligned with this taxonomy classification.
Is NATHAN DALY STICKNEY (DPM) located near Grapevine?
NATHAN DALY STICKNEY (DPM) currently maps to Grapevine, Texas in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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