EASTERN SHORE FAMILY FOOT CARE, LLC
NPI 1942327010
Podiatrist - Foot Surgery in Chestertown, MD

Active since March 23, 2007
6412 CHURCH HILL RD, CHESTERTOWN, MD 21620(410) 778-1801(410) 758-3249 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 27, 2024, Sep 30, 2024, Jun 27, 2024 (3 updates tracked since 2024).

About Eastern Shore Family Foot Care, Llc NPPES

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

EASTERN SHORE FAMILY FOOT CARE, LLC (NPI 1942327010) is a healthcare organization registered as a foot surgery in Chestertown, Maryland and active in the NPI registry since March 2007. The organization lists Kimberli Clarkson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942327010
Entity TypeOrganization
Primary Taxonomy213ES0131X
Legal Business NameEASTERN SHORE FAMILY FOOT CARE, LLC
Location Address6412 CHURCH HILL RDChestertown, MD 21620-2386
Mailing Address6412 Church Hill RdChestertown, MD 21620-2386 · (410) 778-1801 · Fax (410) 758-3249
Fax(410) 758-3249
Organization SubpartNo
Authorized OfficialKimberli ClarksonOffice Manager · (410) 758-5446
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1942327010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in MD · 01102
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
6412 CHURCH HILL RD, Chestertown, MD 21620

Other Identifiers 1

Medicaid780938700MD

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)

Eastern Shore Family Foot Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 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
StateMarylandEnrollment IDO20070430000102Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 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 Eastern Shore Family Foot Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Podiatry
NPI 1477580231
6412 CHURCH HILL RD
Chestertown, MD 21620
(410) 778-1801
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1225008691
970 WASHINGTON AVE
Chestertown, MD 21620
(410) 778-1801
✔ PECOS✔ Accepts Medicare3.6 mi

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 Eastern Shore Family Foot Care, LLC's NPI number?

The NPI number for Eastern Shore Family Foot Care, LLC is 1942327010. It was assigned to this organization in the NPPES registry on March 23, 2007.

Where is Eastern Shore Family Foot Care, LLC located?

Eastern Shore Family Foot Care, LLC is located at 6412 Church Hill Rd, Chestertown, MD 21620. The listed phone number is (410) 778-1801.

What is Eastern Shore Family Foot Care, LLC's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Eastern Shore Family Foot Care, LLC enrolled in Medicare?

Yes. Eastern Shore Family Foot Care, LLC is registered in the Medicare PECOS enrollment system.

When is Eastern Shore Family Foot Care, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by January 31, 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 Eastern Shore Family Foot Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Eastern Shore Family Foot Care, LLC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Shore Family Foot Care, LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.