DR. TODD ALAN DERKSEN (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1053578682
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
297 PODIATRY in WI
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Provider Addresses for DR. TODD ALAN DERKSEN (DPM)
Orthopedic & Sports Institute of the Fox Valley, 2105, East Enterprise Avenue, Appleton, Outagamie County, Wisconsin, 54913, United States
SUITE 111
APPLETON, WI 549137862
Phone: (920) 731-6611
Fax: (920) 731-6732
Type: Mailing
1301 E NORTHLAND AVE
STE B
APPLETON, WI 54911
Phone: (920) 731-1999
Fax: (920) 731-3729
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $14,277.
Total Amount is formed as General ($14,277) + Research ($0) + Ownership ($0) = $14,277.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: EXACTECH, INC. ($12,806).
Total Amount
$14,277
General + Research + Ownership
Payments
31
Total payment records
General Amount
$14,277
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| EXACTECH, INC. | $12,806 |
| DePuy Synthes Sales Inc. | $930 |
| True North Surgical Inc | $202 |
| Stryker Corporation | $117 |
| Heron Therapeutics, Inc. | $94 |
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: 2008-09-04
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 |
|---|---|---|---|---|
| I20080904000627 | I | Podiatry | WI | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 39 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 26 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 30 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 16 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 54913)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | WI | 73630 | X-ray of foot, minimum of 3 views | 65 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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