DR. NATHAN ALLEN ULLOM (DPM) – Podiatrist, NPI 1568777175
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
Provider Addresses for DR. NATHAN ALLEN ULLOM (DPM)
1400 E KINCAID ST
ATTN: CREDENTIALING
MOUNT VERNON, WA 982744127
Phone: (360) 428-2500
Fax: (360) 428-6485
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 23 Open Payments records for all available years, with a total value of $1,581.
Total Amount is formed as General ($1,581) + Research ($0) + Ownership ($0) = $1,581.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Arthrex, Inc. ($600).
Total Amount
$1,581
General + Research + Ownership
Payments
23
Total payment records
General Amount
$1,581
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Arthrex, Inc. | $600 |
| Paladin Technology Solutions | $424 |
| Stryker Corporation | $314 |
| Paragon 28, Inc. | $198 |
| Kerecis Limited | $27 |
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: 2023-02-10
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 |
|---|---|---|---|---|
| I20230210000130 | I | Podiatry | PA | 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 | 1,038 | 386 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 307 | 173 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 256 | 178 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 238 | 170 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 176 | 176 | $0 |
Insurance plans in this area (ZIP 98274)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| P O D I A T R Y | PA | |
| P O D I A T R Y | PA |
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