SHAWN B KHADEMI (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1124412184
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
Provider Addresses for SHAWN B KHADEMI (DPM)
4300 TALBOT RD S STE 102
RENTON, WA 980556238
Phone: (425) 277-3668
Type: Location
750 E TERRA COTTA AVE STE C
CRYSTAL LAKE, IL 600143621
Phone: (847) 639-5800
Fax: (815) 526-3467
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $12,528.
Total Amount is formed as General ($12,528) + Research ($0) + Ownership ($0) = $12,528.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: TriMed, Inc. ($5,298).
Total Amount
$12,528
General + Research + Ownership
Payments
62
Total payment records
General Amount
$12,528
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TriMed, Inc. | $5,298 |
| TREACE MEDICAL CONCEPTS, INC. | $1,536 |
| Paragon 28, Inc. | $1,247 |
| Arthrex, Inc. | $1,202 |
| Stryker Corporation | $1,065 |
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: 2022-05-10
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 |
|---|---|---|---|---|
| I20220510001434 | I | Podiatry | WA | 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 | 84 | 63 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 44 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 98055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WA | |
| P O D I A T R Y | WA | |
| P O D I A T R Y | WA |
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