Foot & Ankle Specialists – Foot & Ankle Surgery Podiatrist, NPI 1700995537
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Foot & Ankle Specialists
8430 Cooper Creek Blvd Ste 101
University Park, FL 342012016
Phone: (941) 758-8818
Type: Location
8215 State Road 54 Ste 2
Trinity, FL 346553016
Phone: (727) 376-6060
Type: Location
8583 W Linebaugh Ave
Tampa, FL 336253731
Phone: (813) 855-3606
Type: Location
8839 Bryan Dairy Rd Ste 219
Largo, FL 337771207
Phone: (727) 393-2383
Type: Location
300 Jeffords St Ste D
Clearwater, FL 337563810
Phone: (727) 446-3338
Type: Location
7915 US Highway 301 N Ste 104
Ellenton, FL 342223532
Phone: (941) 776-5199
Type: Location
1800 Cortez Rd W
Bradenton, FL 342071335
Phone: (941) 758-8818
Type: Location
Countryside Foot & Ankle Center, 2521, Countryside Boulevard, Clearwater, Pinellas County, Florida, 33763, United States
CLEARWATER, FL 337631605
Phone: (727) 797-5008
Fax: (727) 791-8517
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2005-08-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-09-30 (252 days ago).
Enrollment records
1
Earliest due date
2025-09-30
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 |
|---|---|---|---|---|
| O20050803000632 | O | Clinic/Group Practice | FL | 2025-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 34201)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.