DR. STANLEY IDICULLA (DPM) – Foot Surgery Podiatrist, NPI 1043274368
Foot Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
433 PODIATRY in VA
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Provider Addresses for DR. STANLEY IDICULLA (DPM)
112, Elden Street, Herndon, Virginia, 20170, United States
SUITE D
HERNDON, VA 201704874
Phone: (703) 437-5353
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 13 Open Payments records for all available years, with a total value of $689.
Total Amount is formed as General ($689) + Research ($0) + Ownership ($0) = $689.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: ConvaTec Inc. ($125).
Total Amount
$689
General + Research + Ownership
Payments
13
Total payment records
General Amount
$689
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ConvaTec Inc. | $125 |
| Paragon 28, Inc. | $122 |
| Paratek Pharmaceuticals, Inc. | $119 |
| Abbott Laboratories | $103 |
| Stryker Corporation | $49 |
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: 2009-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20090224000705 | I | Preventive Medicine | DC | TBD |
| I20090305000251 | I | Podiatry | VA | 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 | 523 | 156 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 108 | 16 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 95 | 65 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 82 | 32 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 47 | $0 |
Insurance plans in this area (ZIP 20170)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | VA | |
| P O D I A T R Y | VA |
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