STODDARD FOOT & ANKLE PLLC
NPI 1154059343
Podiatrist - Foot & Ankle Surgery in Spanish Fork, UT

Active since August 15, 2022
743 N MAIN ST, SPANISH FORK, UT 84660(385) 225-0961(385) 448-5058 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 6, 2024, Feb 8, 2024, Dec 11, 2023 and 5 more (8 updates tracked since 2022).

About Stoddard Foot & Ankle Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STODDARD FOOT & ANKLE PLLC (NPI 1154059343), doing business as Summit Foot & Ankle, is a healthcare organization registered as a foot & ankle surgery in Spanish Fork, Utah and active in the NPI registry since August 2022. The organization lists Matthew Vernon Stoddard, Dpm/owner, as its authorized official.

NPPES Registry Identity

NPI1154059343
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameSTODDARD FOOT & ANKLE
Location Address743 N MAIN STSpanish Fork, UT 84660-1146
Mailing Address280 S Main StBountiful, UT 84010-6236 · (801) 505-0821
Fax(385) 448-5058
Organization SubpartNo
Authorized OfficialMatthew Vernon StoddardDpm/owner · (208) 697-0786
Enumeration DateAugust 15, 2022
Last NPPES UpdateNovember 6, 20248 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
✔ NPI 1154059343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
743 N MAIN ST, Spanish Fork, UT 84660

Other Names 3

Other NameStoddard Foot & Ankle Pllc
Doing Business AsSummit Foot & Ankle
Doing Business AsSundance Foot & Ankle

Other Identifiers 1

Medicaid10805840-0501UT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stoddard Foot & Ankle Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateUtahEnrollment IDO20230314001155DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Stoddard Foot & Ankle PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1780047936
743 N MAIN ST
Spanish Fork, UT 84660
(385) 225-0961
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1285023556
743 N MAIN ST
Spanish Fork, UT 84660
(385) 225-0961
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stoddard Foot & Ankle's NPI number?

The NPI number for Stoddard Foot & Ankle is 1154059343. It was assigned to this organization in the NPPES registry on August 15, 2022. The provider is doing business as Summit Foot & Ankle and Sundance Foot & Ankle. The provider is also known as Stoddard Foot & Ankle PLLC.

Where is Stoddard Foot & Ankle located?

Stoddard Foot & Ankle is located at 743 N Main St, Spanish Fork, UT 84660. The listed phone number is (385) 225-0961.

What is Stoddard Foot & Ankle's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Stoddard Foot & Ankle enrolled in Medicare?

Yes. Stoddard Foot & Ankle is registered in the Medicare PECOS enrollment system.

When is Stoddard Foot & Ankle's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Utah, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Stoddard Foot & Ankle?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Stoddard Foot & Ankle. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Stoddard Foot & Ankle was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.