Individual provider Active NPI

Stephen Matthew Carley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fredericksburg, VA
National Provider Identifier
1124096664
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103000930 Issued in VA
Practice address
195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone
(540) 371-2724
Fax
(540) 371-5072
NPI assigned
Mar 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 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 0103000930 VA Primary

Addresses

Primary practice location

195 Falcon Dr
Fredericksburg, VA 22408-1930

Mailing address

PO Box 8389
Fredericksburg, VA 22404-8389
Phone (540) 371-2724

Other practice location 1

450 Garrisonville Rd Ste 115
Stafford, VA 22554-1615
Phone (540) 720-0674

Other identifiers 1

IdentifierTypeStateIssuer
010082102MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101026000999 VA Practitioner - Podiatry 2466431275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rappahannock Foot and Ankle Specialists PLCGroup PAC ID 5991784779, 11 clinicians

Practice addresses (Care Compare)

195 Falcon Dr
Fredericksburg, VA 22408-1930
Phone (540) 371-2724

Merit-based Incentive Payment System (MIPS)

Final score
85.22 of 100Reported as individual
Quality
73.13
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103000930VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rappahannock Foot & Ankle Specialists, PLC Foot & Ankle Surgery CurrentSince Apr 1, 2000 Accepting new patients
Rappahannock Foot & Ankle Specialist CurrentSince Apr 1, 2000 Accepting new patients

Locations

2215 Plank Rd
Fredericksburg, VA 22401
Phone (540) 216-0410

195 Falcon Dr
Fredericksburg, VA 22408
Phone (540) 371-2724

450 Garrisonville Rd
Ste 115
Stafford, VA 22554
Phone (540) 720-0674

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1124096664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8389",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224048389",
            "telephone_number": "540-371-2724",
            "fax_number": "540-371-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FALCON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081930",
            "telephone_number": "540-371-2724",
            "fax_number": "540-371-5072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Garrisonville Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541615",
            "country_code": "US",
            "telephone_number": "540-720-0674",
            "fax_number": "540-720-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "STEPHEN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103000930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010082102",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.