NPIMap

Individual provider Active NPI

William Ottis McGlone III, DPM

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
National Provider Identifier
1053801019
Registry record updated May 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
243962 Issued in KY
Practice address
3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726
Phone
(502) 496-4914
Fax
(502) 459-7509
NPI assigned
May 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 243962 KY
Foot & Ankle Surgery Podiatrist 213ES0103X 07001357A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 243962 KY Primary

Addresses

Primary practice location

3901 Dutchmans LN Ste 104
Louisville, KY 40207-4726

Mailing address

9400 S Cicero Ave Ste 100
Oak Lawn, IL 60453-2536
Phone (708) 424-3201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210608001368 IN Practitioner - Podiatry 7214337500 Reassigns benefits to 1 organization
I20220517001965 KY Practitioner - Podiatry 7214337500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3901 Dutchmans LN
Suite 104
Louisville, KY 40207-4726
Phone (502) 496-4914

9400 S Cicero Ave
Suite 100
Oak Lawn, IL 60453-2536

Hospital & facility affiliations

  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Hospital, Louisville, KY, CCN 180040

Merit-based Incentive Payment System (MIPS)

Final score
71.45 of 100Reported as individual
Quality
38.15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue139
Removal of skin lesions1-10
Removal of nail tissue416
Removal or shaving of skin growth146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates LLC Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Commonwealth Foot and Ankle Center Podiatrist CurrentSince May 1, 2022 Accepting new patients
Commonwealth Foot and Ankle Center Podiatrist CurrentSince May 1, 2022 Accepting new patients
Foot & Ankle Associates LLC Podiatrist CurrentSince Mar 1, 2023 Accepting new patients
Baptist Healthcare System Inc. Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

9400 S Cicero Ave
Ste 100
Oak Lawn, IL 60453
Phone (816) 673-3522

4650 Southwest Hwy
Oak Lawn, IL 60453
Phone (708) 424-3202

131 Walnut St
Lawrenceburg, IN 47025
Phone (812) 537-4848

1850 State St
New Albany, IN 47150
Phone (812) 944-7701

1915 Bishop Ln
Louisville, KY 40218
Phone (502) 459-3338

3901 Dutchmans Ln
Ste 104
Louisville, KY 40207
Phone (502) 259-9101

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 6

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

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747526400000",
    "number": "1053801019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S CICERO AVE STE 100",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532536",
            "telephone_number": "708-424-3201",
            "fax_number": "708-424-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 DUTCHMANS LN STE 104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074726",
            "telephone_number": "502-496-4914",
            "fax_number": "502-459-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLONE",
        "first_name": "WILLIAM",
        "middle_name": "OTTIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-05-18",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KY",
            "license": "243962",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001357A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "243962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.