DFW FOOT AND ANKLE CARE LLC – Foot Surgery Podiatrist, NPI 1558981977
Foot Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DFW FOOT AND ANKLE CARE LLC
4508 LEGACY DR STE 200
PLANO, TX 750242189
Phone: (469) 551-8595
Fax: (469) 242-9656
Type: Location
4116 W SPRING CREEK PKWY STE 400C
PLANO, TX 750245237
Phone: (469) 551-8595
Fax: (469) 242-9656
Type: Location
9720 COIT RD STE 220-224
PLANO, TX 750255833
Phone: (210) 833-8881
Type: Mailing
5405 Fulham Ln
McKinney, TX 750718695
Phone: (210) 833-8881
Type: Location
5012 S US Highway 75 Ste 120
Denison, TX 750204587
Phone: (469) 551-7088
Fax: (469) 242-9656
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: 2020-06-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| O20200519000059 | O | Clinic/Group Practice | TX | 2025-12-31 |
| O20200610003507 | O | Physician - Podiatry | TX | 2023-11-30 |
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 75024)
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