Individual provider Active NPI

Daniel Matthew Wettstein, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Twin Falls, ID
National Provider Identifier
1174756316
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
P-215 Issued in ID
Practice address
176 Falls Ave Ste 200
Twin Falls, ID 83301-2306
Phone
(208) 731-6321
NPI assigned
Sep 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 P-215 ID Primary

Addresses

Primary practice location

176 Falls Ave Ste 200
Twin Falls, ID 83301-2306

Mailing address

176 Falls Ave Ste 200
Twin Falls, ID 83301-2306
Phone (208) 731-6321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20120830000342 ID Practitioner - Podiatry 9537316344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

176 Falls Ave
Suite 200
Twin Falls, ID 83301-2306
Phone (208) 731-6321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.86 of 100Reported as individual
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue82
Removal of skin lesions1-10
Removal of nail tissue355
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P-215IDMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry of Southern Idaho, LLC Foot Surgery CurrentSince Oct 5, 2017 Accepting new patients
Advanced Foot & Ankle of Magic Valley, LLC Podiatrist CurrentSince Dec 3, 2025 Accepting new patients

Locations

176 Falls Ave
#200
Twin Falls, ID 83301
Phone (208) 731-6321

476 Cheney Dr W
Twin Falls, ID 83301
Phone (208) 731-6321

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.

Hospital & facility affiliations 1

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": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1174756316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 FALLS AVE STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012306",
            "telephone_number": "208-731-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 FALLS AVE STE 200",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833012306",
            "telephone_number": "208-731-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTSTEIN",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-03",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P-215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.