DR. DEREK SCOTT ANSELMO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1508386665
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for DR. DEREK SCOTT ANSELMO (DPM)
2376 N 400 E STE 204
TOOELE, UT 840743413
Phone:
Type: Mailing
8109 SENTINEL RDG # 8109
EAGLEVILLE, PA 194036301
Phone: (215) 866-8622
Type: Mailing
Phoenixville Hospital, 140, Nutt Road, Phoenixville, Chester County, Pennsylvania, 19460, United States
PHOENIXVILLE, PA 194603906
Phone: (610) 983-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 71 Open Payments records for all available years, with a total value of $3,530.
Total Amount is formed as General ($3,530) + Research ($0) + Ownership ($0) = $3,530.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Fusion Orthopedics USA, LLC ($2,052).
Total Amount
$3,530
General + Research + Ownership
Payments
71
Total payment records
General Amount
$3,530
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Fusion Orthopedics USA, LLC | $2,052 |
| Stryker Corporation | $275 |
| Sanara MedTech Inc. | $248 |
| Medtronic, Inc. | $172 |
| Orthofix Medical, Inc. | $135 |
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: 2021-04-26
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 |
|---|---|---|---|---|
| I20210426001438 | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 218 | 100 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 215 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 138 | 93 | $0 |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 90 | 27 | $0 |
| 87799 | Detection test by nucleic acid for organism, quantification | 78 | 26 | $0 |
Insurance plans in this area (ZIP 84074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | NM | |
| P O D I A T R Y | CA | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT | |
| Interventional Radiology | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | MO |
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