Individual provider Active NPI

Casey Bowen Fillerup

  • Foot & Ankle Surgery Podiatrist
  • Santa Maria, CA
National Provider Identifier
1093229650
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5622 Issued in CA
Practice address
1145 E Clark Ave Ste a
Santa Maria, CA 93455-5150
Phone
(805) 934-0570
Fax
(805) 938-7688
NPI assigned
Nov 18, 2017
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 E5622 CA Primary

Addresses

Primary practice location

1145 E Clark Ave Ste a
Santa Maria, CA 93455-5150

Mailing address

1145 E Clark Ave Ste a
Santa Maria, CA 93455-5150
Phone (805) 934-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 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
I20220819001123 CA Practitioner - Podiatry 1850774175 Reassigns benefits to 2 organizations
Practice locations: Santa Maria, CA
O20230308001932 CA DME Supplier - Physician - Podiatry 1658744875 Practice locations: Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waves Foot and Ankle, Inc.Group PAC ID 4385146596, 2 clinicians

Practice addresses (Care Compare)

1145 E Clark Ave
Suite a
Santa Maria, CA 93455-5150
Phone (805) 934-0570

821 E Chapel St
Suite 101
Santa Maria, CA 93454-4618
Phone (805) 925-8703

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
11.33 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue245
Removal of skin lesions27
Removal of nail tissue440
Removal or shaving of skin growth212
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E5622CAMDFoot & Ankle Surgery Podiatrist
5622CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waves Foot and Ankle Inc. Foot & Ankle Surgery CurrentSince Jul 23, 2025 Accepting new patients

Locations

821 E Chapel St
Ste 101
Santa Maria, CA 93454
Phone (805) 925-8703

Interoperability endpoints

  • Direct secure messaging: casey.fillerup@3324.securemail.prognocis.com

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.

Hospital & facility affiliations 3

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": "1510963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1093229650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555150",
            "telephone_number": "805-934-0570",
            "fax_number": "805-938-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 E CLARK AVE STE A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555150",
            "telephone_number": "805-934-0570",
            "fax_number": "805-938-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILLERUP",
        "first_name": "CASEY",
        "middle_name": "BOWEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-18",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.