Unknown Individual – Podiatrist, NPI 1114929098
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4602, Southern Parkway, Southern Heights, Louisville, Jefferson County, Kentucky, 40214, United States
SUITE 1B
LOUISVILLE, KY 402140000
Phone: (502) 366-1479
Fax: (502) 366-6718
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2023-02-27 • Largest payer in this snapshot: Smith+Nephew, Inc. ($30).
Total Amount
$116
General + Research + Ownership
Payments
5
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-27
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 27 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 16 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 18 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 13 | 12 | $0 |
Insurance plans in this area (ZIP 40214)
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