Individual provider Active NPI

Christopher Carl Saccone, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Corydon, IN
National Provider Identifier
1083029235
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
243992 Issued in KY
Practice address
1995 Edsel LN NW Ste 3
Corydon, IN 47112-3008
Phone
(812) 225-5480
Fax
(812) 225-5481
NPI assigned
Jun 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001246A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 243992 KY Primary

Addresses

Primary practice location

1995 Edsel LN NW Ste 3
Corydon, IN 47112-3008

Mailing address

1995 Edsel LN NW Ste 3
Corydon, IN 47112-3008
Phone (812) 225-5480

Other identifiers 2

IdentifierTypeStateIssuer
300004224MedicaidIN
7100466340MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170628001697 IN Practitioner - Podiatry 0345519765 Reassigns benefits to 2 organizations
I20170707001753 KY Practitioner - Podiatry 0345519765 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 Commerce Dr
Brandenburg, KY 40108-9784
Phone (812) 225-5480

1995 Edsel LN NW
Suite 3
Corydon, IN 47112-3008
Phone (812) 225-5480

Hospital & facility affiliations

  • Harrison County Hospital Hospital, Corydon, IN, CCN 151331

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue81
Removal of skin lesions332
Removal of nail tissue794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001246AINMDFoot & Ankle Surgery Podiatrist
243992KYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Practice for Foot and Ankle LLC CurrentSince Jun 15, 2024 Accepting new patients
Kentuckiana Foot & Ankle PLLC Foot & Ankle Surgery CurrentSince Jul 10, 2017 Accepting new patients
Kentuckiana Foot & Ankle, PLLC Foot & Ankle Surgery CurrentSince Jul 10, 2017 Accepting new patients

Locations

1995 Edsel Ln NW
Ste 3
Corydon, IN 47112
Phone (812) 225-5480

2818 Grant Line Rd
New Albany, IN 47150
Phone (812) 725-7542

103 Commerce Dr
Brandenburg, KY 40108
Phone (812) 225-5480

3045 Ring Rd
Elizabethtown, KY 42701
Phone (270) 737-3338

4612 Outer Loop
Louisville, KY 40219
Phone (502) 804-4811

4420 Dixie Hwy
Ste 130
Louisville, KY 40216
Phone (502) 805-3338

6801 Dixie Hwy
Ste 134
Louisville, KY 40258
Phone (502) 447-4500

734 W Main St
Ste 106
Louisville, KY 40202
Phone (502) 653-5800

7397 Jefferson Blvd
Louisville, KY 40219
Phone (502) 805-3338

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 4

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1083029235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 EDSEL LN NW STE 3",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123008",
            "telephone_number": "812-225-5480",
            "fax_number": "812-225-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 EDSEL LN NW STE 3",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471123008",
            "telephone_number": "812-225-5480",
            "fax_number": "812-225-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCONE",
        "first_name": "CHRISTOPHER",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001246A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "KY",
            "license": "243992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300004224",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100466340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.