{
  "npi": "1083666036",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "DPM",
    "enumeration_date": "2006-05-17",
    "first_name": "KIMBERLY",
    "last_name": "CICCERO",
    "last_updated": "2026-09-29",
    "middle_name": "SUE",
    "name_prefix": "Ms.",
    "name_suffix": "--",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "396 PORTLAND WAY NORTH",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GALION",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "419-462-5037",
      "postal_code": "44833",
      "state": "OH",
      "telephone_number": "419-468-3668"
    },
    {
      "address_1": "3255 E LIVINGSTON AVE",
      "address_2": "PO BOX 27940",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLUMBUS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "614-239-1080",
      "postal_code": "432271923",
      "state": "OH",
      "telephone_number": "614-239-9444"
    }
  ],
  "taxonomies": [
    {
      "code": "213ES0103X",
      "desc": "Podiatrist, Foot & Ankle Surgery",
      "license": "36003436",
      "primary": true,
      "state": "OH",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "NPI": "1083666036",
      "LAST_NAME": "CICCERO",
      "FIRST_NAME": "KIMBERLY",
      "PARTB": "Y",
      "DME": "Y",
      "HHA": "Y",
      "PMD": "N",
      "HOSPICE": "Y"
    }
  },
  "medicare_utilization": {
    "total_beneficiaries": "276",
    "total_services": "1209",
    "total_medicare_allowed_amt": "77427.88",
    "top_hcpcs_services": [
      {
        "code": "11055",
        "description": "Removal of noncancer thickened skin growth, 1 growth",
        "services": "25",
        "beneficiaries": "13"
      },
      {
        "code": "11056",
        "description": "Removal of noncancer thickened skin growth, 2-4 growths",
        "services": "109",
        "beneficiaries": "36"
      },
      {
        "code": "11057",
        "description": "Removal of noncancer thickened skin growth, more than 4 growths",
        "services": "26",
        "beneficiaries": "11"
      },
      {
        "code": "11721",
        "description": "Removal of fingernails or toenails, 6 or more nails",
        "services": "684",
        "beneficiaries": "210"
      },
      {
        "code": "11730",
        "description": "Simple separation of fingernail or toenail from nail bed, first nail",
        "services": "23",
        "beneficiaries": "21"
      },
      {
        "code": "29540",
        "description": "Placement of strapping to ankle or foot",
        "services": "34",
        "beneficiaries": "30"
      },
      {
        "code": "99203",
        "description": "New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more",
        "services": "90",
        "beneficiaries": "90"
      },
      {
        "code": "99204",
        "description": "New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more",
        "services": "63",
        "beneficiaries": "63"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "48",
        "medicare_type": "Podiatry"
      }
    ]
  }
}