CMS-1500 Box 24J / 33a • NPI
1083666036
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
213ES0103X (CMS 48)
Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
Box 32 Service Location & ZIP+4
396 PORTLAND WAY NORTH, GALION, OH, 44833
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1083666036 (KIMBERLY SUE CICCERO, DPM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
No
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1083666036)
Medicare Beneficiaries
276
Total Billed Services
1,209
Distinct CPT/HCPCS Codes
22
Medicare Allowed Total
$77,427.88
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
11055 | Removal of noncancer thickened skin growth, 1 growth | 25 |
11056 | Removal of noncancer thickened skin growth, 2-4 growths | 109 |
11057 | Removal of noncancer thickened skin growth, more than 4 growths | 26 |
11721 | Removal of fingernails or toenails, 6 or more nails | 684 |
11730 | Simple separation of fingernail or toenail from nail bed, first nail | 23 |
29540 | Placement of strapping to ankle or foot | 34 |
99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 90 |
99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 63 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Azithromycin Azithromycin | 15 | 14 |
| Ketoconazole Ketoconazole | 70 | 28 |
| Methylprednisolone Methylprednisolone | 12 | 11 |
| Terbinafine Hcl Terbinafine Hcl | 18 | 12 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1083666036 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KIMBERLY SUE CICCERO, DPM |
| Plain-English Specialty | Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery NUCC Code: 213ES0103X (Podiatrist, Foot & Ankle Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 396 PORTLAND WAY NORTH, GALION, OH, 44833 |
| Practice Telephone / Fax | Tel: (419) 468-3668 | Fax: (419) 462-5037 |
| Administrative Mailing Address | 3255 E LIVINGSTON AVE, COLUMBUS, OH, 43227-1923 |
| Enumeration & Last Sync | Enumerated: 2006-05-17 | CMS Record Updated: 2026-09-29 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (213ES0103X)
What Does Taxonomy Code 213ES0103X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 213ES0103X translates to:
"Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KIMBERLY SUE CICCERO, DPM)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
213ES0103X — Podiatrist, Foot & Ankle SurgeryPlain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery | State: OH | License: 36003436 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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