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Diabetic Shoes & Medicare Coverage 2026 | Podiatrist

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Medically reviewed by Dr. Tom Biernacki, DPM Β· Board-Certified Podiatric Surgeon Β· Last reviewed: April 2026 Β· Editorial Policy

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Diabetic Shoes and Medicare Coverage 2026: What Your Podiatrist Wants You to Know

Diabetic Foot Treatment 101 [Symptoms, Pain Relief & Home PREVENTION]

βœ… Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist Β· Last updated April 6, 2026

Diabetic shoes Medicare coverage - podiatrist fitting diabetic footwear, Balance Foot & Ankle Howell MI
Medicare covers therapeutic shoes for qualifying diabetic patients | Balance Foot & Ankle

Quick Answer: Medicare Part B covers one pair of therapeutic diabetic shoes plus 3 pairs of inserts per year under the Therapeutic Shoe Bill. You need a qualifying diabetes diagnosis and a prescription from your treating physician. In our clinic, we help patients navigate this process and ensure proper fitting for maximum protection.

In This Guide

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These are the exact products we recommend to 5,000+ patients annually at Balance Foot & Ankle in Howell & Bloomfield Hills, MI.

Dr. Tom Biernacki explains the Medicare therapeutic shoe benefit and how to qualify.
Medically Reviewed by: Dr. Tom Biernacki, DPM — Board-Certified Podiatrist
Last Updated: March 2026 | Reading Time: 10 min
This article is for informational purposes only and does not replace professional medical advice. Schedule an appointment for personalized care.

Watch: Diabetic Foot Care 101 — Podiatrist Guide

Watch Dr. Tom explain diabetic foot problems, shoe selection, and when to seek professional care:

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Diabetic Shoes & Medicare Coverage 2026: A Podiatrist’s Complete Guide

Updated March 2026 — Medicare covers therapeutic shoes for qualified diabetic patients. Dr. Tom Biernacki explains exactly who qualifies, what’s covered, and which shoes we prescribe for our diabetic patients at Balance Foot & Ankle.

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Affiliate Disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Our recommendations are based on clinical experience treating 5,000+ patients annually — not commissions. We only recommend products we trust for our own patients.
Medicare Therapeutic Shoe Benefit (HCPCS A5500): Medicare Part B covers one pair of diabetic shoes and three pairs of custom molded inserts per calendar year for qualifying patients. This can save patients $400–$800+ annually. Dr. Biernacki can prescribe these during your annual diabetic foot exam.

πŸ”¬ Our 4 Non-Negotiables: What We Look For in Every Shoe

Every shoe recommended on this page meets ALL FOUR of these clinical criteria:

1. Structured Heel Counter
Keeps the rearfoot stable and prevents wobbling that strains tendons and ligaments.
2. Torsional Rigidity
The midfoot shouldn’t twist easily. Rigidity prevents arch collapse during gait.
3. Forefoot Flex Grooves
The shoe should flex at the metatarsal heads — not the midfoot — for natural toe-off.
4. Removable Insole
Deep insole cavity accommodates custom orthotics or allows room for swelling.

Who Qualifies for Medicare Diabetic Shoes?

To qualify, you must have diabetes AND at least one of the following:

βœ“ Peripheral neuropathy with callus formation
βœ“ History of pre-ulcerative callus
βœ“ History of foot ulceration
βœ“ Foot deformity (bunions, hammertoes, Charcot foot)
βœ“ Prior lower extremity amputation
βœ“ Poor circulation (peripheral arterial disease)

Our Top Diabetic Shoe Picks

πŸ† #1 Best A5500 Therapeutic ShoeMedicare A5500

Dr. Comfort William-X


Dr. Comfort William-X Double Depth Diabetic Shoes for Men-Therapeutic Shoe-Mens Walking Shoes with Gel Inserts

  • MEN’S DOUBLE DEPTH CASUAL SHOE – A sleek, casual shoe designed with extra depth for comfort and support.
  • DOUBLE DEPTH SHOE – Constructed with extra depth to accommodate extra volume for severe edema, internal braces, and AFOs.
  • CONTACT CLOSURE – Single hook and loop fastener for comfort, support, and a great fit
  • LEATHER UPPERS – Natural material to help regulate heat and keep feet cool and dry
  • PROTECTIVE TOE BOX – Protective toe box provides extra protection from toe stubbing

DROPLow
STACKExtra Depth
TYPETherapeutic
WIDTHSB/D/2E/4E/6E

Why We Recommend It: The gold standard Medicare A5500-coded diabetic shoe. Double-depth construction accommodates thick custom orthotics, wound dressings, or significant edema. The smooth bamboo lining eliminates friction points that cause ulceration, and the protective toe box prevents stubbing injuries in neuropathic patients. HSA/FSA eligible.

βœ… Best For:
Diabetic neuropathy, foot ulcer prevention, patients with Medicare coverage, patients with significant foot deformities
⚠️ Not Ideal For:
Patients seeking athletic performance or fashion-forward styling
πŸ₯‡ #2 Best Budget Diabetic Shoe

Orthofeet Sprint


Orthofeet Men’s Sprint Walking Shoe, Athletic

  • Tie-Less Lacing System eliminates the need to tie laces. Heel strap enables to adjust the grip around the heel. Cushioning sole with a mild Rocker adds spring to your step. Soft, padded fabric interior with no overlays eliminates irritation.

DROPLow
STACKOrthopedic
TYPETherapeutic Athletic
WIDTHSB/D/2E/4E

Why We Recommend It: For patients who want a more athletic-looking diabetic shoe, the Orthofeet Sprint provides a smooth interior, extra depth for custom inserts, and a mild rocker sole for easier toe-off. Available in orthopedic widths. A good self-pay option for patients who want diabetic shoe features without the Medicare coding process.

βœ… Best For:
Diabetic patients wanting a modern athletic look, patients with Medicare who prefer a sneaker style
⚠️ Not Ideal For:
Patients with severe foot deformities (the Dr. Comfort William-X provides more accommodation)
DOES THIS DESCRIBE YOU?
βœ— You have Type 1 or Type 2 diabetes and have never had a Medicare diabetic shoe fitting
βœ— You have an open wound, ulcer, or non-healing sore on your foot
βœ— Your doctor has mentioned “peripheral neuropathy” or reduced sensation in your feet
βœ— You’ve had a diabetic foot amputation or hospitalization in the past

β†’ Medicare Part B covers diabetic shoes + 3 pairs of insoles annually for qualifying patients. Most patients with diabetes qualify — don’t leave this benefit unused.
πŸ“ž (810) 206-1402 | Check Your Medicare Diabetic Shoe Coverage β†’
Howell & Bloomfield Hills, MI | We are Medicare-certified for diabetic footwearβš•οΈ DR. TOM’S COMPLETE MEDICARE DIABETIC SHOE PROTOCOL:
Step 1: GET CERTIFIED β†’ Your primary care physician must certify your diabetes diagnosis and foot risk in the same calendar year
Step 2: GET FITTED β†’ Visit a podiatrist or certified shoe fitter for your Medicare diabetic shoe fitting
Step 3: RIGHT SHOE β†’ Orthofeet, Drew, or Apex Medicare-certified extra-depth diabetic shoes
Step 4: DAILY ROUTINE β†’ Wear shoes all waking hours, inspect feet nightly, moisturize heels and soles (not between toes)
[Medicare covers up to $140-180 for diabetic shoes + $65/pair for insoles — check your specific plan for exact amounts]DOES THIS DESCRIBE YOU?
βœ— You have Type 1 or Type 2 diabetes and have never had a Medicare diabetic shoe fitting
βœ— You have an open wound, ulcer, or non-healing sore on your foot
βœ— Your doctor has mentioned “peripheral neuropathy” or reduced sensation in your feet
βœ— You’ve had a diabetic foot amputation or hospitalization in the past

β†’ Medicare Part B covers diabetic shoes + 3 pairs of insoles annually for qualifying patients. Most patients with diabetes qualify — don’t leave this benefit unused.
πŸ“ž (810) 206-1402 | Check Your Medicare Diabetic Shoe Coverage β†’
Howell & Bloomfield Hills, MI | We are Medicare-certified for diabetic footwear

Clinical Note: A 65-year-old diabetic woman didn’t know her Medicare plan covered diabetic shoes. After a brief certification visit with her doctor and a fitting with us, she received 3 pairs of quality diabetic shoes at no out-of-pocket cost.

Clinical Note: A 70-year-old diabetic patient had worn regular athletic shoes for years despite neuropathy. After fitting with Medicare-covered Orthofeet extra-depth shoes and custom insoles, he had zero pressure ulcers in 2+ years of follow-up.

Quick Comparison: Medicare-Eligible Diabetic Shoes

Shoe Medicare Eligible Depth Best For Price (OOP)
Orthofeet Sprint βœ… Yes Extra Deep Active diabetic patients Often $0 with Medicare
Drew Shoe Balance βœ… Yes Extra Deep Dress/casual diabetic Often $0 with Medicare
Apex Biomechanical βœ… Yes Extra Deep High-risk diabetic feet Often $0 with Medicare
New Balance 928v3 Check plan Wide Budget diabetic option $$
PropΓ©t Stability Walker Check plan Wide Diabetic walker $$

Diabetic-Approved Walking Shoe

Orthofeet Sprint β€” smooth, extra-depth, designed for neuropathic feet.

Seamless Diabetic Sock

OS1st FS4 β€” non-binding, moisture-wicking, protects fragile diabetic skin.

Recovery Slide for Indoor Wear

HOKA Ora 3 β€” protects diabetic feet from barefoot injury at home.

As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. Product recommendations are based on clinical experience; prices and availability shown above update live from Amazon.

Bloomfield Hills Diabetic Shoes 8 - Balance Foot & Ankle

When to See a Podiatrist

One unnoticed blister on a neuropathic foot can become a limb-threatening ulcer in under 14 days. Medicare covers diabetic shoes (A5500) and comprehensive foot exams annually for most diabetic patients with neuropathy or circulation concerns. Balance Foot & Ankle runs a dedicated diabetic limb-preservation program β€” vascular screening, offloading, ulcer care, and shoe fitting β€” all in one visit. Schedule your annual diabetic foot exam today.

Call Balance Foot & Ankle: (810) 206-1402  ·  Book online  ·  Offices in Howell & Bloomfield Hills

Frequently Asked Questions

Why is diabetic foot care so important?

Diabetes causes two problems that make foot wounds dangerous: peripheral neuropathy (nerve damage reducing sensation) and peripheral arterial disease (reduced blood flow impairing healing). A small blister or cut that a non-diabetic person would notice and treat can go undetected in a diabetic patient for days, become infected, and progress to osteomyelitis. Diabetic foot ulcers are the leading cause of non-traumatic lower limb amputations. A consistent foot care routine and regular podiatry visits prevent most amputations.

How often should diabetic patients see a podiatrist?

Patients with diabetic peripheral neuropathy should see a podiatrist every 2–3 months for routine nail care and foot inspection. Patients with active foot complications (ulcers, Charcot foot, severe PAD) need more frequent visits β€” often every 2–4 weeks until stable. Even well-controlled diabetics without neuropathy benefit from annual foot exams. Many amputations we see in consultation could have been prevented with earlier, consistent podiatric care.

What is diabetic peripheral neuropathy?

Peripheral neuropathy is nerve damage from chronically elevated blood sugar, causing numbness, tingling, burning, or loss of sensation β€” typically starting in the toes and progressing upward in a ‘stocking’ distribution. The dangerous aspect isn’t the pain β€” it’s the absence of pain. Patients with severe neuropathy don’t feel blisters, cuts, pressure sores, or early infections. A wound can reach bone before it’s noticed. Neuropathy screening with a 10-gram monofilament is part of every diabetic foot exam.

What are the warning signs of a diabetic foot problem?

Seek same-day evaluation for: any open wound or blister that isn’t healing within 1–2 weeks, redness, warmth, or swelling in any part of the foot (possible Charcot fracture or infection), a new blister or callus, any red streaking or warmth spreading up the leg (cellulitis), foot or ankle pain in a diabetic patient with neuropathy (could be Charcot without pain). Don’t wait to see if it improves β€” diabetic foot infections are medical emergencies.

What is the best foot cream for diabetic feet?

The goal of diabetic foot cream is restoring the skin’s moisture barrier to prevent fissuring and cracking β€” the entry points for infection. Look for urea-based creams (10–25% urea) or lactic acid formulations that actually penetrate thickened skin rather than sitting on the surface. AmLactin 12%, Eucerin Diabetics’ Dry Skin Relief, and Gold Bond Diabetics’ Dry Skin Relief are clinical-grade options. Avoid cream between the toes β€” moisture retention between toes promotes maceration and fungal infection.

Can diabetic patients get foot massages?

Light massage is generally safe for diabetic patients without active wounds, severe edema, or PAD. However, deep tissue massage or vigorous rubbing should be avoided β€” with neuropathy, patients can’t feel if tissue is being damaged. Foot massagers with rollers or intense vibration should be avoided entirely. If you enjoy foot massage, use gentle, light strokes with a diabetic-appropriate foot cream. Let your podiatrist know if you’re incorporating massage into your routine β€” we can advise based on your circulation status.

What type of socks should diabetic patients wear?

Diabetic socks: smooth (seams can create pressure sores over a neuropathic foot), non-binding at the top (circulation-restrictive socks worsen PAD), moisture-wicking (polyester/wool blend reduces bacterial environment), padded sole (cushions bony prominences). Avoid cotton socks for active patients β€” cotton retains moisture. Never wear socks with elastic bands that leave marks on the leg. Brands specifically designed for diabetic feet: Thorlos, Wigwam, and most major medical supply brands.

Should diabetic patients cut their own toenails?

It depends on neuropathy severity and vision. Patients with mild neuropathy and good vision can safely trim nails straight across without cutting the corners. Patients with moderate-to-severe neuropathy, poor vision, or thick nails should not self-trim β€” the risk of cutting the surrounding skin (which they may not feel) is too high. This is exactly what podiatry nail care visits are for. Medicare and most insurance plans cover routine foot care for diabetic patients with documented neuropathy.

What is Charcot foot and how serious is it?

Charcot neuroarthropathy is a serious diabetic complication where neuropathy allows repeated micro-fractures to occur without pain, leading to progressive bone and joint destruction and foot deformity. The classic presentation: a warm, swollen, red foot in a diabetic patient β€” often mistaken for cellulitis. Early Charcot (caught within weeks of onset) can be managed with a total contact cast to prevent further collapse. Late Charcot with significant arch destruction often requires reconstructive surgery. Missing the diagnosis is catastrophic β€” a single patient with missed Charcot can progress to a rocker-bottom deformity requiring amputation.

Does insurance cover diabetic foot care?

Medicare Part B covers routine foot care (nail trimming, callus debridement) for diabetic patients with documented peripheral neuropathy β€” one visit every 2 months. Most PPO and HMO plans follow similar coverage rules. Diabetic shoes and insoles are covered under Medicare’s Therapeutic Shoe Bill (one pair of shoes plus three pairs of custom insoles per year). Call us at (810) 206-1402 and we’ll verify your specific coverage before your first appointment.

Diabetic Foot Care β†’ | Neuropathy Treatment β†’ | Diabetic Shoes Michigan β†’ | Custom Orthotics β†’

When to see a podiatrist about diabetic footwear:

  • You have diabetes and have never had a professional shoe fitting
  • Numbness or tingling in your feet (peripheral neuropathy)
  • History of foot ulcers or amputations
  • Your current shoes cause blisters, calluses, or pressure sores
  • You need help navigating Medicare coverage for therapeutic shoes

Medical References & Sources

In-Office Treatment Available

Regular podiatry care is essential for people with diabetes — the American Diabetes Association recommends annual comprehensive foot exams. Dr. Tom provides Medicare-covered diabetic shoe fittings, wound care, nail and callus management, and neuropathy monitoring.

Learn more about Diabetic Foot Care β†’  |  Book an appointment

Dr. Tom’s Recommended Products for Diabetic Foot Care

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These are products I personally use and recommend to my patients at Balance Foot & Ankle.

  • Dr. Comfort Men’s Paradise Diabetic Shoe — Medicare-covered diabetic shoe with smooth interior — eliminates pressure points that cause diabetic ulcers
  • Foundation Wellness DASS Diabetic Socks (Levanta) — non-binding, smooth toe, moisture-wicking diabetic socks protecting neuropathic feet
  • Derma Sciences Bordered Gauze Dressings — Non-adherent wound dressing ideal for diabetic foot wound management between podiatry visits

Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we trust for our own patients.

Dr. Tom’s Recommended Insoles

PowerStep is the brand I prescribe most — medical-grade OTC support without the custom orthotic price tag.

  • PowerStep Pinnacle Insoles — The OTC orthotic I recommend most — medical-grade arch support at a fraction of custom orthotic cost. Works in most shoes.
  • PowerStep Maxx Insoles — For severe arch pain or flat feet — maximum correction and support when Pinnacle isn’t enough.

Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we trust for our own patients.

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In-Office Diabetic Foot Care at Balance Foot & Ankle

At our Howell and Bloomfield Hills offices, Dr. Tom Biernacki provides comprehensive diabetic foot evaluations including monofilament testing for neuropathy, vascular assessment, custom 3D orthotic fitting (covered by Medicare Part B), and therapeutic shoe prescriptions. We work directly with Medicare to ensure your diabetic shoe benefit is fully used — most patients qualify for one pair of therapeutic shoes plus three pairs of inserts annually at no out-of-pocket cost.

Learn about our diabetic foot care services β†’ | Custom 3D orthotics β†’

Need diabetic shoe fitting? (810) 206-1402 | Book your appointment β†’

PowerStep Pinnacle Insoles — The OTC orthotic I recommend most in our clinic. Medical-grade arch support reduces pressure points that cause diabetic ulcers. Use as interim support while waiting for custom orthotics. Not ideal for: replacing Medicare-covered custom orthotics for severe neuropathy.

Doctor Hoy’s Natural Pain Relief Gel — Natural topical pain relief I use in our clinic. Arnica + camphor formula for diabetic foot pain. Not ideal for: application on open wounds or ulcers.

Plantar Fasciitis Compression Socks (15-20mmHg) — Graduated compression improves circulation in diabetic feet. Seamless toe construction prevents friction injuries. Not ideal for: patients with peripheral arterial disease (ABI <0.9) — compression can worsen arterial insufficiency.

Affiliate disclosure: We may earn a commission on purchases. This does not affect our clinical recommendations.

Browse all diabetic foot products β†’ Shop Now | Foundation Wellness Products

Frequently Asked Questions About Diabetic Shoes & Medicare

Does Medicare cover diabetic shoes?

Yes. Medicare Part B covers one pair of therapeutic shoes plus three pairs of inserts per calendar year under the Therapeutic Shoe Program. You need a prescription from your treating physician confirming diabetes and a qualifying foot condition (neuropathy, foot deformity, calluses, poor circulation, or history of ulceration). Dr. Tom’s office handles the Medicare paperwork and fitting at Balance Foot & Ankle.

What is the difference between diabetic shoes and regular shoes?

Diabetic shoes have deeper toe boxes (preventing pressure on neuropathic toes), smooth interiors (eliminating friction points that cause ulcers), firm heel counters (stabilizing gait), and removable insoles (accommodating custom orthotics). They are manufactured to ASTM standards for therapeutic footwear — regular shoes, even comfortable ones, do not meet these specifications.

How often can I get new diabetic shoes through Medicare?

Medicare covers one pair of therapeutic shoes per calendar year. You can also receive three pairs of custom inserts (or one pair of custom-molded shoes if qualifying conditions are met). Coverage resets January 1 each year. Schedule your fitting early in the year to maximize your benefit. Call (810) 206-1402.

Dr. Tom’s Picks: Diabetic Foot Care Products

PowerStep Pinnacle β€” Between Medicare Shoe Cycles
Medicare covers one pair of diabetic shoes per year. Between cycles, Pinnacle provides the arch support and cushioning diabetic feet need to prevent pressure ulcers.
Read Review
Plantar Fasciitis Compression Socks β€” Diabetic-Friendly
Graduated compression for diabetic circulation support. Diabetic-friendly knit β€” no constricting top band that could compromise distal circulation.
Check Price

As an Amazon Associate I earn from qualifying purchases. As a Foundation Wellness partner I may also earn commission.

⚠️ Most Common Mistake With Medicare Diabetic Shoes

The most common mistake we see is patients waiting until they develop a foot wound before asking about Medicare diabetic shoe benefits. Medicare Part B covers one pair of diabetic shoes and up to three pairs of custom insoles per calendar year for qualifying patients — but you must have a documented diagnosis of diabetes and a podiatrist certify medical necessity. I have patients who went years without claiming this benefit simply because no one told them it existed. If you have diabetes, ask us at your next appointment whether you qualify. It costs you nothing to check.

The Bottom Line

Medicare-covered diabetic shoes are a critical part of preventing serious foot complications. In our clinic, we see too many diabetic patients wearing improper footwear that leads to ulcers, infections, and even amputations. The right therapeutic shoes with proper inserts can dramatically reduce your risk. If you have diabetes and qualify, there is no reason not to take advantage of this benefit — one pair of shoes and three pairs of custom inserts per calendar year at little to no out-of-pocket cost.

Need Help With Medicare Diabetic Shoes?

We handle the Medicare paperwork and ensure proper fitting at our Howell & Bloomfield Hills locations

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Or call: (810) 206-1402

πŸ’Š Did you know Medicare covers diabetic shoes? Ask us how to qualify.

πŸ“ž (810) 206-1402 | Book Online β†’

Same-day appointments. Howell & Bloomfield Hills. Most insurance accepted.

Medicare Covers Your Diabetic Shoes — We Handle Everything

Qualifying diabetic patients receive one pair of therapeutic shoes and 3 pairs of custom inserts per year through Medicare. Our office manages the entire process from certification to fitting.

Clinical References

  1. Bus SA, et al. “Effectiveness of therapeutic footwear for the diabetic foot.” Diabetes/Metabolism Research and Reviews. 2008;24(S1):S162-S180.
  2. American Diabetes Association. “Standards of Medical Care in Diabetes — 2024.” Diabetes Care. 2024;47(Supplement 1):S231-S243.
  3. Lavery LA, et al. “Preventing diabetic foot ulcer recurrence in high-risk patients.” Diabetes Care. 2007;30(1):14-20.

Affiliate disclosure: As an Amazon Associate, Balance Foot & Ankle earns from qualifying purchases. We only recommend products we use with patients.

Drew Moonwalker Diabetic Shoe Dr. Tom’s Pick

Best for: Medicare-covered diabetic footwear

Check Price on Amazon

Diabetic Compression Socks Dr. Tom’s Pick

Best for: Daily protection + circulation

Check Price on Amazon

Hibiclens Antiseptic Dr. Tom’s Pick

Best for: Wound prep + paronychia care

Check Price on Amazon

Magnifying Mirror with Light Dr. Tom’s Pick

Best for: Daily foot inspection

Check Price on Amazon

Ready to Get Back on Your Feet?

Same-day appointments in Howell + Bloomfield Hills. Most insurance accepted. Dr. Tom Biernacki, DPM & team.

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Call Now: (810) 206-1402

About Your Care Team at Balance Foot & Ankle

Dr. Tom Biernacki, DPM Β· Board-Certified Foot & Ankle Surgeon. Specializes in conservative-first care, minimally invasive bunion surgery, and complex reconstruction.

Dr. Carl Jay, DPM Β· Accepting new patients. Specializes in sports medicine, athletic injuries, and routine podiatric care.

Dr. Daria Gutkin, DPM, AACFAS Β· Accepting new patients. Specializes in surgical reconstruction and pediatric podiatry.

Locations: 4330 E Grand River Ave, Howell, MI 48843 Β· 43494 Woodward Ave #208, Bloomfield Hills, MI 48302

Hours: Mon–Fri 8:00 AM – 5:00 PM Β· (810) 206-1402

🩺 While Awaiting Your Medicare Diabetic Shoe Fitting

  • PowerStep Pinnacle Insoles β€” Upgrade your current shoes immediately while you wait for Medicare-covered diabetic shoes. PowerStep provides medical-grade pressure redistribution β€” critical for protecting diabetic feet.
  • Plantar Fasciitis Compression Socks β€” Graduated medical compression to manage the swelling that often accompanies diabetic foot complications. Recommend based on circulation status and fit.

We can help you qualify for Medicare-covered diabetic shoes and insoles. See our diabetic foot care program β†’ Β· Book your fitting β†’ Β· (810) 206-1402

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