DR. SHAWN MICHAEL SANICOLA (DPM) – Podiatrist, NPI 1457356305

DR. SHAWN MICHAEL SANICOLA (DPM) is a healthcare provider. based in Waukesha, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 883025 (WI). The NPI Number for DR. SHAWN MICHAEL SANICOLA (DPM) is 1457356305

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHAWN MICHAEL SANICOLA (DPM)
NPI
1457356305
Phone
(262) 542-3779
Address
2430C N GRANDVIEW BLVD # C
Enumeration Date
16 June 2005
Last Update Date
16 February 2022

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
26254237794
Graduation Year
2002 (24 years ago)
PAC ID
5991722050
Group Practice PAC ID
3779500442
Professional Enrollment ID
I20051027000840
Address ID
WI530725591PE2835XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

297 PODIATRY in WI

Provider Addresses for DR. SHAWN MICHAEL SANICOLA (DPM)

  • 2430C N GRANDVIEW BLVD # C

    WAUKESHA, WI 531881605

    Phone: (262) 542-3779

    Fax: (262) 542-4428

    Type: Location

  • Grandview Boulevard, City of Pewaukee, Waukesha County, Wisconsin, 53072, United States

    STE 300

    PEWAUKEE, WI 530725591

    Phone: (262) 542-3779

    Fax: (262) 542-4428

    Type: Mailing

  • 2835 N GRANDVIEW BLVD STE 300

    PEWAUKEE, WI 530725591

    Phone: (262) 542-3779

    Fax: (262) 542-4428

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $831.

Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Smith+Nephew, Inc. ($182).

Total Amount

$831

General + Research + Ownership

Payments

22

Total payment records

General Amount

$831

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2005-10-27

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
I20051027000840IPodiatryWITBD

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
11721Removal of fingernails or toenails, 6 or more nails736256$0
99213Established patient office or other outpatient visit, 20-29 minutes345230$0
99203New patient office or other outpatient visit, 30-44 minutes118118$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6830$0
11042Removal of skin and tissue, 20.0 sq cm or less5714$0
View full utilization report →

Insurance plans in this area (ZIP 53188)

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Provider's Procedures

DR. SHAWN MICHAEL SANICOLA (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYWI11042Removal of skin and tissue first 20 sq cm or less13436
PODIATRYWI73630X-ray of foot, minimum of 3 views2218

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: 3779500442View full group profile
NameSpecialtyState
P O D I A T R YWI
P O D I A T R YWI
P O D I A T R YWI
P O D I A T R YWI
P O D I A T R YPA
P O D I A T R YMN
-WI

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Frequently asked questions

What identifier follows DR. SHAWN MICHAEL SANICOLA (DPM) across health systems?
The NPI 1457356305 uniquely identifies DR. SHAWN MICHAEL SANICOLA (DPM) in U.S. healthcare data.
Should I treat DR. SHAWN MICHAEL SANICOLA (DPM) as an active provider?
Patients and plans typically see DR. SHAWN MICHAEL SANICOLA (DPM) as active in the national extract.
Which specialty label fits DR. SHAWN MICHAEL SANICOLA (DPM)?
NPPES ties DR. SHAWN MICHAEL SANICOLA (DPM) to Podiatrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is DR. SHAWN MICHAEL SANICOLA (DPM) tied to Waukesha, Wisconsin?
If you are local to Waukesha, Wisconsin, DR. SHAWN MICHAEL SANICOLA (DPM) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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