Elizabeth M Hofmeister, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Manteno, IL
NPI 1104803105 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1104803105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- Practice address
- 2825 West Division St
Manteno, IL 60950-1518 - Phone
- (815) 468-7117
- Fax
- (815) 468-7510
- NPI assigned
- Dec 30, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prairie Rock Foot and Ankle Clinic LTD
Practice addresses (Care Compare)
2825 W Division St
Manteno, IL 60950-1002
Phone (815) 468-7117
Hospital & facility affiliations
- Riverside Medical Center
- Presence St Marys Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.46 of 100
- Quality
- 84.91
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 67 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 579 |
| Removal or shaving of skin growth | 346 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101229000126 | IL | Practitioner - Podiatry | 1254332513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prairie Rock Foot & Ankle Clinic LTD | Foot & Ankle Surgery | Current |
Accepting new patients |
Locations
2825 W Division St
Manteno, IL 60950
Phone (815) 468-7117
Interoperability endpoints
- elizabeth.hofmeister.1@16314.direct.athenahealth.com
- https://api.platform.athenahealth.com/16314/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | IL | Yes |
Addresses
Primary practice location
2825 West Division St
Manteno, IL 60950-1518
Mailing address
2825 West Division St
Manteno, IL 60950-1518
Phone (815) 468-7117
Other providers in Manteno, IL
- Madison Harmon
- Hear for You, Inc
- Heritage Woods Watseka/Manteno
- Highland Park CVS, L.L.C.
- Rebecca J Hodulik
- Maeve Houlihan
- Adele Human
- Illinois Veterans Home at Manteno
- Madeline Rose Ingram
- Iroquois Mental Health Center
All providers in Manteno, IL · Foot & Ankle Surgery Podiatrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.