DR. BRYAN LEONARD BERGHOUT (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1255411419
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
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Provider Addresses for DR. BRYAN LEONARD BERGHOUT (DPM)
19th Avenue Southeast, Everett, Snohomish County, Washington, 98208, United States
EVERETT, WA 982085103
Phone: (425) 337-7000
Fax: (425) 338-2408
Type: Mailing
965 E 700 S
Saint George, UT 847904082
Phone: (735) 775-2324
Type: Location
6405 S 3000 E STE 201
SALT LAKE CITY, UT 841216990
Phone: (801) 266-3113
Fax: (801) 266-5633
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-02-08
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 |
|---|---|---|---|---|
| I20070824000329 | I | Podiatry | WA | TBD |
| I20240208001899 | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 262 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 154 | 77 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 151 | 58 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 78 | 78 | $0 |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 55 | 22 | $0 |
Insurance plans in this area (ZIP 98208)
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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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