JEROD STANLEY (DPM) – Podiatrist, NPI 1356758668

JEROD STANLEY (DPM) is a healthcare provider. based in Olympia, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO60750804 (WA). The NPI Number for JEROD STANLEY (DPM) is 1356758668

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JEROD STANLEY (DPM)
NPI
1356758668
Phone
(360) 943-9600
Address
3525 ENSIGN RD NE STE N
Enumeration Date
18 July 2014
Last Update Date
3 January 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3609439600
Graduation Year
2013 (13 years ago)
PAC ID
7517262264
Group Practice PAC ID
1052681509
Professional Enrollment ID
I20170719001986
Address ID
WA985065065OL3525XNEXX411
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:11State licenses:1Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for JEROD STANLEY (DPM)

  • 3525 ENSIGN RD NE STE N

    OLYMPIA, WA 985065065

    Phone: (360) 943-9600

    Fax: (360) 943-9694

    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 15 Open Payments records for all available years, with a total value of $386.

Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($255).

Total Amount

$386

General + Research + Ownership

Payments

15

Total payment records

General Amount

$386

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

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170719001986IPodiatryWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11721Removal of fingernails or toenails, 6 or more nails703239$0
99213Established patient office or other outpatient visit, 20-29 minutes698375$0
Q4234Xcellerate, per square centimeter28613$0
11042Removal of skin and tissue, 20.0 sq cm or less21242$0
11056Removal of noncancer thickened skin growth, 2-4 growths19491$0
View full utilization report →

Insurance plans in this area (ZIP 98506)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052681509View full group profile
NameSpecialtyState
P O D I A T R YWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEROD STANLEY (DPM)?
JEROD STANLEY (DPM) — NPI 1356758668 — is the standard way to identify this listing.
Does the file indicate JEROD STANLEY (DPM) is practicing under active NPI?
Directory data currently reports JEROD STANLEY (DPM) as active.
What healthcare role does JEROD STANLEY (DPM) hold?
Scheduling teams often label JEROD STANLEY (DPM) under Podiatrist. Clinical services aligned with this taxonomy classification.
Does JEROD STANLEY (DPM) list a practice location?
Patients near Olympia, Washington may find JEROD STANLEY (DPM) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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