Cynthia Lynn Utley-Breneman, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000682A Issued in IN

Practice address

720 S 6TH St
Monticello, IN 47960-8182

Phone

(765) 296-9842

Fax

(765) 296-9842

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Miss Cynthia Lynn Utley Former name

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Podiatry

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Indiana University Health White Memorial Hospital Hospital, Monticello, IN, CCN 151312
• Ascension St Vincent Warrick Hospital, Boonville, IN, CCN 151325

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Utley Clinics Inc

  • Podiatrist
  • Monticello, IN
  • NPI 1700926011
  Medicare reassignment NPD Authorized official

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

• Indiana University Health White Memorial Hospital Inc

  • Critical Access Hospital
  • Monticello, IN
  • NPI 1710983945
  Care Compare affiliation
• St. Mary'S Warrick Hospital, Inc.

  • Critical Access Hospital
  • Boonville, IN
  • NPI 1205828803
  Care Compare affiliation

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1063552495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5134",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479035134",
            "telephone_number": "765-426-1766",
            "fax_number": "765-296-9842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608182",
            "telephone_number": "765-296-9842",
            "fax_number": "765-296-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTLEY-BRENEMAN",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000682A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100129410A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "407560A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "UTLEY",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charles R. Tribbett, M.D.
• Lucas Ian Trout, DDS
• Twin Lakes School Corporation
• Thomas Ulrich, RPH
• Utley Clinics Inc
• Vala VL Bujak Hearing Aid Service
• Christina M Van Meter
• Heidi L Van Meter, PTA
• Verve Health LLC
• Thomas Arnold Wade, MD

• Podiatrist in Monticello, IN
• Providers in Monticello, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.