PENSACOLA PODIATRY, P.A. – Foot & Ankle Surgery Podiatrist, NPI 1790960508
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PENSACOLA PODIATRY, P.A.
Pensacola Podiatry PA, 6160, North Davis Highway, Heritage Medical Park, Pensacola, Escambia County, Florida, 32504, United States
STE 1
PENSACOLA, FL 325046967
Phone: (850) 476-2805
Fax: (850) 476-3010
Type: Mailing
825 E Burgess Rd
Pensacola, FL 325047001
Phone: (850) 806-2153
Fax: (850) 332-1941
Type: Location
5976 Berryhill Rd Ste A
Milton, FL 325704009
Phone: (850) 806-2153
Fax: (850) 332-1941
Type: Location
6160 N DAVIS HWY STE 1
PENSACOLA, FL 325046967
Phone: (850) 476-2805
Fax: (850) 476-3010
Type: Mailing
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: 2012-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
2
Earliest due date
2023-08-31
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 |
|---|---|---|---|---|
| O20100930065896 | O | Physician - Podiatry | FL | 2023-08-31 |
| O20120605000092 | O | Clinic/Group Practice | FL | TBD |
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 32504)
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