COASTAL MAINE FOOT AND ANKLE PA – Foot & Ankle Surgery Podiatrist, NPI 1801423330

COASTAL MAINE FOOT AND ANKLE PA is a healthcare provider. based in Yarmouth, Maine. specializing in Foot & Ankle Surgery Podiatrist. The NPI Number for COASTAL MAINE FOOT AND ANKLE PA is 1801423330

Main info

Organization
Name
COASTAL MAINE FOOT AND ANKLE PA
NPI
1801423330
Phone
Not provided
Address
45 FOREST FALLS DR
Authorized Official
DR. BARRY WHITE AUTHORIZED OFFICIAL
Enumeration Date
25 March 2020
Last Update Date
20 January 2021

Contacts

Secure Messaging
Footdocbmw@outlook.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

Provider Addresses for COASTAL MAINE FOOT AND ANKLE PA

  • 45 FOREST FALLS DR

    YARMOUTH, ME 040966999

    Phone:

    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)

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: 2020-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-02-28 (104 days ago).

Enrollment records

2

Earliest due date

2026-02-28

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
O20200526000691OPhysician - PodiatryMETBD
O20200908000839OClinic/Group PracticeME2026-02-28

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.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04096)

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Reviews

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Frequently asked questions

Does COASTAL MAINE FOOT AND ANKLE PA have a public NPI I can cite?
Public records show COASTAL MAINE FOOT AND ANKLE PA under NPI 1801423330.
Should I treat COASTAL MAINE FOOT AND ANKLE PA as an active provider?
Patients and plans typically see COASTAL MAINE FOOT AND ANKLE PA as active in the national extract.
What services align with COASTAL MAINE FOOT AND ANKLE PA's listing?
COASTAL MAINE FOOT AND ANKLE PA's public classification highlights Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to COASTAL MAINE FOOT AND ANKLE PA?
COASTAL MAINE FOOT AND ANKLE PA shows a connection to Yarmouth, Maine in registry-derived data.
Can I export COASTAL MAINE FOOT AND ANKLE PA's record?
You can download the official NPPES record; we summarize key fields for readability.

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