S Luke Berthelsen DPM Inc

A Medicare group practice based in Vista, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0941564371), with 2 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0941564371The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Podiatry, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
2 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
2In 1 place

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20180510000981 CA Part B Supplier - Clinic/Group Practice 1821598004
O20180824001578 CA DME Supplier - Physician - Podiatry 1710222443

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
91.51 of 100Reported as group
Quality
77.61
Improvement activities
40

Clinicians 2

Clinicians who reassign their Medicare benefits to this group (2) or whom Care Compare lists as members (2).

Sources for this page