✓ Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery (213ES0103X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MONTE SCHMALHAUS, DPM (NPI #1932761822)

Podiatrist, Foot & Ankle Surgery • MISSION VIEJO, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1932761822
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
26800 CROWN VALLEY PKWY, MISSION VIEJO, CA, 92691-6384
✓ 9-Digit EDI 837 ZIP+4 (92691-6384)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1932761822 (MONTE SCHMALHAUS, 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 #1932761822)

Medicare Beneficiaries
227
Total Billed Services
1,771
Distinct CPT/HCPCS Codes
89
Medicare Allowed Total
$573,802.46

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
11042 Removal of skin and tissue, 20.0 sq cm or less39
11042 Removal of skin and tissue, 20.0 sq cm or less53
11055 Removal of noncancer thickened skin growth, 1 growth35
11056 Removal of noncancer thickened skin growth, 2-4 growths48
11721 Removal of fingernails or toenails, 6 or more nails60
29540 Placement of strapping to ankle or foot61
29581 Application of vein wound compression bandages on lower leg, ankle, and foot17
29581 Application of vein wound compression bandages on lower leg, ankle, and foot16

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1932761822 (NPI-1 Individual Practitioner)
Provider / Legal NameMONTE SCHMALHAUS, DPM
Plain-English SpecialtyLicensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
NUCC Code: 213ES0103X (Podiatrist, Foot & Ankle Surgery)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address26800 CROWN VALLEY PKWY, MISSION VIEJO, CA, 92691-6384
Practice Telephone / FaxTel: (303) 868-7738
Administrative Mailing Address18920 BEAVER HOLLOW RD, GARFIELD, AR, 72732-9147
Enumeration & Last SyncEnumerated: 2019-07-01 | CMS Record Updated: 2023-04-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

26800 CROWN VALLEY PKWY, MISSION VIEJO, CA, 92691-6384

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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"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 48 (Podiatry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Podiatrist, Foot & Ankle Surgery for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MONTE SCHMALHAUS, 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
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
390200000X — Student in an Organized Health Care Education/Training Program
Plain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program
State: N/A | License: Verified | Primary: Secondary
213ES0103X — Podiatrist, Foot & Ankle Surgery
Plain English: Licensed & Credentialed Podiatric Medicine & Surgery Service Providers — Podiatrist, Foot & Ankle Surgery
State: CA | License: E5938 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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