Individual provider Active NPI

William David Respess, DPM

  • Foot & Ankle Surgery Podiatrist
  • Greenville, NC
National Provider Identifier
1063401164
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
470 Issued in NC
Practice address
3282 Charles Blvd
Greenville, NC 27858-8875
Phone
(252) 695-6000
Fax
(252) 695-6059
NPI assigned
Oct 20, 2005
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 470 NC Primary

Addresses

Primary practice location

3282 Charles Blvd
Greenville, NC 27858-8875

Mailing address

3282 Charles Blvd
Greenville, NC 27858-8875
Phone (252) 695-6000

Other identifiers 3

IdentifierTypeStateIssuer
4699540001OtherNCSUPPLIER IDENTIFIER
0808VOtherNCBLUE CROSS BLUE SHEILD
890808VMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070927001010 NC Practitioner - Podiatry 3577658046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

2470 Emerald PL
Suite B
Greenville, NC 27834-5786
Phone (252) 355-6300

2654 M L King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 637-0093

3282 Charles Blvd
Greenville, NC 27858-8875
Phone (252) 695-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.93 of 100Reported as individual
Quality
91.85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue121
Removal of skin lesions78
Removal of nail tissue197
Removal or shaving of skin growth157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
470NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle East, P.C. Foot & Ankle Surgery CurrentSince Sep 12, 2002 Accepting new patients

Locations

1020 Red Banks Rd
Greenville, NC 27858
Phone (252) 695-6000

3282 Charles Blvd
Greenville, NC 27858
Phone (252) 695-6000

Interoperability endpoints

  • Direct secure messaging: foot&ankleeastpc.williamrespess@137048.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1063401164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3282 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588875",
            "telephone_number": "252-695-6000",
            "fax_number": "252-695-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3282 CHARLES BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278588875",
            "telephone_number": "252-695-6000",
            "fax_number": "252-695-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESPESS",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER IDENTIFIER",
            "identifier": "4699540001",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0808V",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890808V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.