FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC – Podiatrist, NPI 1477068062
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for FOOT AND ANKLE SPECIALISTS OF THE MID-ATLANTIC, LLC
175C Spicers Mill Rd
Orange, VA 229601037
Phone: (540) 672-1402
Fax: (540) 825-4937
Type: Location
66 Parkway Ln Ste 102
Fishersville, VA 229392385
Phone: (540) 949-5150
Fax: (540) 825-4937
Type: Location
2050 Abbey Rd Ste C
Charlottesville, VA 229113553
Phone: (434) 295-4443
Fax: (434) 295-8598
Type: Location
530 Sunset Ln Ste A
Culpeper, VA 227013981
Phone: (540) 825-6113
Fax: (540) 825-4937
Type: Location
East Gude Drive, Rockville, Montgomery County, Maryland, 20850, United States
ROCKVILLE, MD 208501496
Phone: (301) 933-7133
Fax: (301) 933-7137
Type: Mailing
887A RIO EAST CT
CHARLOTTESVILLE, VA 229018004
Phone: (434) 979-8116
Fax: (434) 979-8880
Type: Location
PO BOX 825159
PHILADELPHIA, PA 191825159
Phone: (301) 933-7133
Fax: (301) 933-7137
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: 2018-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (924 days ago).
Enrollment records
1
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 |
|---|---|---|---|---|
| O20181012000459 | O | Physician - General Practice | VA | 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 22960)
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