PAUL W AUFDERHEIDE (DPM) – Podiatrist, NPI 1730260241

PAUL W AUFDERHEIDE (DPM) is a healthcare provider. based in Silverdale, Washington. specializing in Podiatrist. They hold the professional credentials DPM. They hold a License No. P0000000335 (WA). The NPI Number for PAUL W AUFDERHEIDE (DPM) is 1730260241

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
PAUL W AUFDERHEIDE (DPM)
NPI
1730260241
Phone
(360) 698-2505
Address
10049 KITSAP MALL BLVD NW
Enumeration Date
18 October 2006
Last Update Date
10 November 2011

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
3606982505
Graduation Year
2005 (21 years ago)
PAC ID
6709841679
Group Practice PAC ID
5294817565
Professional Enrollment ID
I20041120000106
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for PAUL W AUFDERHEIDE (DPM)

  • 10049, Kitsap Mall Boulevard Northwest, Silverdale, Kitsap County, Washington, 98383, United States

    SUITE 109

    SILVERDALE, WA 983838903

    Phone: (360) 698-2505

    Fax: (360) 698-2514

    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 6 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Organogenesis Inc. ($160).

Total Amount

$253

General + Research + Ownership

Payments

6

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2004-11-20

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
I20041120000106IPodiatryWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes897543$0
11720Removal of fingernails or toenails, 1-5 nails442206$0
11721Removal of fingernails or toenails, 6 or more nails413274$0
99212Established patient office or other outpatient visit, 10-19 minutes402232$0
11719Trimming of fingernails or toenails341151$0
View full utilization report →

Insurance plans in this area (ZIP 98383)

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Provider's Procedures

PAUL W AUFDERHEIDE (DPM) performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYWA73630X-ray of foot, minimum of 3 views293149

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: 5294817565View full group profile
NameSpecialtyState
P O D I A T R YWA
P O D I A T R YWA
P O D I A T R YPA
P O D I A T R YWA

Reviews

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Frequently asked questions

What federal number belongs to PAUL W AUFDERHEIDE (DPM)?
The federal identifier for PAUL W AUFDERHEIDE (DPM) is NPI 1730260241.
Is PAUL W AUFDERHEIDE (DPM)'s NPI currently valid?
The extract we use shows PAUL W AUFDERHEIDE (DPM) as active.
What kind of provider is PAUL W AUFDERHEIDE (DPM)?
The page reflects Podiatrist for PAUL W AUFDERHEIDE (DPM). Clinical services aligned with this taxonomy classification.
Does PAUL W AUFDERHEIDE (DPM) practice in Washington?
You will see Silverdale, Washington on file for PAUL W AUFDERHEIDE (DPM) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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