DR. JOHN KITTRELL CLYDE (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1831402841
Foot & Ankle Surgery Podiatrist
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Profile Insights
NPPES metrics only — not quality of care.
360 PODIATRY in WA
Provider Addresses for DR. JOHN KITTRELL CLYDE (D.P.M.)
526 N MULLAN RD
SPOKANE VALLEY, WA 992062408
Phone: (509) 924-2600
Fax: (509) 926-9865
Type: Mailing
PO BOX 34876
SEATTLE, WA 981241876
Phone: (425) 656-5412
Fax: (425) 656-4096
Type: Mailing
24920 104TH AVE SE
KENT, WA 980306443
Phone: (425) 203-7290
Fax: (425) 656-5429
Type: Location
3600 LIND AVE SW
SUITE 100 ATTN CREDENTIALING
RENTON, WA 980574970
Phone: (425) 690-2715
Type: Mailing
27500 168TH PL SE
COVINGTON, WA 980425563
Phone: (425) 690-3510
Fax: (425) 690-9510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Summit Surgical Corp. ($65).
Total Amount
$135
General + Research + Ownership
Payments
3
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Summit Surgical Corp. | $65 |
| Stryker Corporation | $47 |
| TREACE MEDICAL CONCEPTS, INC. | $23 |
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: 2012-09-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20120717000002 | I | Podiatry | WA | TBD |
| I20120907000686 | I | Podiatry | ID | 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 | 175 | 104 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 86 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32 | 27 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 31 | 19 | $0 |
Insurance plans in this area (ZIP 99206)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | WA | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 23 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WA | |
| P O D I A T R Y | WA |
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