KIMBERLY SKALLA (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1699303693

KIMBERLY SKALLA (DPM) is a healthcare provider. based in Spokane, Washington. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO61565702 (WA). The NPI Number for KIMBERLY SKALLA (DPM) is 1699303693

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY SKALLA (DPM)
NPI
1699303693
Phone
(509) 483-9363
Address
123 W FRANCIS AVE STE 101
Enumeration Date
27 March 2020
Last Update Date
20 December 2024

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
5094839363
Graduation Year
2020 (6 years ago)
PAC ID
7012379449
Group Practice PAC ID
3870481963
Professional Enrollment ID
I20260403001116
Address ID
ID838549006PO3922XAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

360 PODIATRY in WA

Provider Addresses for KIMBERLY SKALLA (DPM)

  • 123 W FRANCIS AVE STE 101

    SPOKANE, WA 992056348

    Phone: (509) 483-9363

    Type: Mailing

  • 123 W FRANCIS AVE

    SPOKANE, WA 992056348

    Phone: (509) 535-3130

    Type: Location

  • 12560 NE CEDARBROOK RD

    AURORA, OR 970028546

    Phone: (503) 442-9966

    Type: Mailing

  • 5169 S COTTONWOOD ST STE 303

    MURRAY, UT 841076768

    Phone: (801) 507-3747

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 44 Open Payments records for all available years, with a total value of $4,517.

Total Amount is formed as General ($4,517) + Research ($0) + Ownership ($0) = $4,517.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Stryker Corporation ($3,296).

Total Amount

$4,517

General + Research + Ownership

Payments

44

Total payment records

General Amount

$4,517

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2024-07-26

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
I20240726003624IPodiatryWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99205)

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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: 3870481963View full group profile
NameSpecialtyState
P O D I A T R YIL
-WA
P O D I A T R YWA
P O D I A T R YCA

Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY SKALLA (DPM)'s NPI?
Yes. KIMBERLY SKALLA (DPM) is listed with NPI 1699303693 in the public NPI dataset.
Is KIMBERLY SKALLA (DPM) listed as active for patients and plans?
The listing shows KIMBERLY SKALLA (DPM) as active in the NPI system.
What taxonomy line describes KIMBERLY SKALLA (DPM)?
For research purposes, treat KIMBERLY SKALLA (DPM) as Foot & Ankle Surgery Podiatrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does KIMBERLY SKALLA (DPM) serve?
KIMBERLY SKALLA (DPM)'s listing highlights Spokane, Washington; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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