LARRY J. KIPP DPM, PA – Podiatrist, NPI 1528215779
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LARRY J. KIPP DPM, PA
52, Lower Cross Road, Hudson, Penobscot County, Maine, 04449, United States
HUDSON, FL 346676708
Phone: (727) 868-2128
Fax: (727) 868-7491
Type: Mailing
16244 S Military Trl Ste 210
Delray Beach, FL 334846507
Phone: (727) 809-1555
Fax: (855) 552-3776
Type: Location
5145 DEER PARK DR
NEW PORT RICHEY, FL 346537013
Phone: (727) 868-2128
Fax: (727) 868-7491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-02-18
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 |
|---|---|---|---|---|
| O20121130000419 | O | Clinic/Group Practice | FL | TBD |
| O20190218001271 | O | Physician - Podiatry | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34667)
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