Individual provider Active NPI

Steven Lee Wolfington, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sheboygan, WI
National Provider Identifier
1013997220
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
634-025 Issued in WI
Practice address
630 Riverfront Drive
Suite 202
Sheboygan, WI 53081-4616
Phone
(920) 457-6104
Fax
(920) 457-6105
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 634-025 WI Primary

Addresses

Primary practice location

630 Riverfront Drive
Suite 202
Sheboygan, WI 53081-4616

Mailing address

630 Riverfront Drive
Suite 202
Sheboygan, WI 53081-4616
Phone (920) 457-6104

Other identifiers 1

IdentifierTypeStateIssuer
43265900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071109000576 WI Practitioner - Podiatry 0840388757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

630 Riverfront Dr
Suite 202
Sheboygan, WI 53081-4616
Phone (920) 457-6104

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions50
Removal of nail tissue769
Removal or shaving of skin growth197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
634-025WIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheboygan Foot Care, LLC Foot & Ankle Surgery CurrentSince Feb 1, 2018 Accepting new patients

Locations

630 Riverfront Dr
Ste 202
Sheboygan, WI 53081
Phone (920) 457-6104

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1013997220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 RIVERFRONT DRIVE",
            "address_2": "SUITE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814616",
            "telephone_number": "920-457-6104",
            "fax_number": "920-457-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 RIVERFRONT DRIVE",
            "address_2": "SUITE 202",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814616",
            "telephone_number": "920-457-6104",
            "fax_number": "920-457-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFINGTON",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WI",
            "license": "634-025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43265900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

Verify at the official NPI Registry.