NICHOLAS LELAND HUGENTOBLER (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1508096116
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
257 PODIATRY in CO
Provider Addresses for NICHOLAS LELAND HUGENTOBLER (DPM)
6405 S 3000 E STE 201
SALT LAKE CITY, UT 841216990
Phone: (801) 266-3113
Fax: (801) 266-5633
Type: Mailing
270 E 8TH AVE
SUITE N102
DURANGO, CO 813015708
Phone: (970) 903-9853
Fax: (970) 616-6745
Type: Location
2095 N Dolores Road
Cortez, CO 813218924
Phone: (970) 564-8086
Fax: (970) 564-8087
Type: Location
4740 N Butler Ave
Farmington, NM 874010826
Phone: (505) 324-6300
Fax: (505) 327-2218
Type: Location
Animas Surgical Hospital, 575, Rivergate Lane, Durango, La Plata County, Colorado, 81301, United States
UNIT 95
DURANGO, CO 813017490
Phone: (970) 259-5303
Fax: (970) 259-3510
Type: Mailing
Rivergate Lane, Durango, La Plata County, Colorado, 81303, United States
DURANGO, CO 81301
Phone: (208) 371-0388
Fax: (970) 259-9766
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2024-05-15 • Largest payer in this snapshot: Linvatec Corporation ($103).
Total Amount
$141
General + Research + Ownership
Payments
5
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Linvatec Corporation | $103 |
| MIMEDX Group, Inc. | $20 |
| Paratek Pharmaceuticals, Inc. | $19 |
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: 2017-01-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120813000617 | I | Podiatry | CO | TBD |
| I20150506000161 | I | Podiatry | NM | TBD |
| I20170110001580 | I | Podiatry | UT | 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 |
|---|---|---|---|---|
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 3,069 | 186 | $0 |
| Q4250 | Amnioamp-mp, per square centimeter | 1,154 | 12 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 733 | 58 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 729 | 301 | $0 |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 701 | 126 | $0 |
Insurance plans in this area (ZIP 84121)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | CO | 11042 | Removal of skin and tissue first 20 sq cm or less | 56 | 15 |
| PODIATRY | CO | 73630 | X-ray of foot, minimum of 3 views | 540 | 245 |
| PODIATRY | CO | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 50 | 40 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NM | |
| Family Practice | NM | |
| Nurse Practitioner | UT | |
| P O D I A T R Y | NM | |
| Family Practice, Pediatric Medicine | UT | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | NM |
Reviews
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