GORDON S NISHIMOTO (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1356334460
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
Provider Addresses for GORDON S NISHIMOTO (DPM)
15428, 14th Drive Southeast, Aspen, Mill Creek, Snohomish County, Washington, 98012, United States
MILL CREEK, WA 980128467
Phone: (425) 337-7000
Fax: (425) 338-2408
Type: Mailing
1100 PACIFIC AVE STE 300
EVERETT, WA 982014261
Phone: (425) 337-7000
Fax: (425) 338-2488
Type: Mailing
10821 19TH AVE SE STE 201
EVERETT, WA 982085103
Phone: (425) 337-7000
Fax: (425) 338-2408
Type: Location
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: 2011-02-04
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 |
|---|---|---|---|---|
| I20110204000068 | 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 | 146 | 76 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 73 | 16 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 71 | 15 | $0 |
| 73620 | X-ray of foot, 2 views | 63 | 32 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 28 | 20 | $0 |
Insurance plans in this area (ZIP 98012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | WA | 11056 | Removal of 2 to 4 thickened skin growths | 163 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Orthopedic Surgery, Hand Surgery | WA | |
| U R O L O G Y | WA | |
| Occupational Therapist In Private Practice | WA | |
| - | WA | |
| Orthopedic Surgery, Sports Medicine | WA | |
| Physician Assistant | WA | |
| - | WA | |
| Otolaryngology, Allergy/Immunology, Plastic And Reconstructive Surgery, Surgical Oncology | WA | |
| - | WA |
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