Individual provider Active NPI

Arlo H Yaege, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Punta Gorda, FL
National Provider Identifier
1184885691
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3380 Issued in FL
Practice address
352 Milus St
Foot and Ankle Center of Charlotte County
Punta Gorda, FL 33950-4552
Phone
(941) 639-0025
Fax
(941) 347-7271
NPI assigned
Jun 18, 2008
Last updated
Apr 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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 SC005945 PA
Foot & Ankle Surgery Podiatrist 213ES0103X PO3380 FL Primary

Addresses

Primary practice location

352 Milus St
Foot and Ankle Center of Charlotte County
Punta Gorda, FL 33950-4552

Mailing address

352 Milus St
Foot and Ankle Centers of Charlotte County
Punta Gorda, FL 33950-4552
Phone (941) 639-0025

Other identifiers 2

IdentifierTypeStateIssuer
6500LOtherBLUE SHIELD
77160OtherGROUP MEDICARE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090806000246 FL Practitioner - Podiatry 3971656091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Centers of Charlotte County PAGroup PAC ID 5799718540, 7 clinicians

Practice addresses (Care Compare)

352 Milus St
Punta Gorda, FL 33950-4552
Phone 9416390025203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.99 of 100Reported as individual
Quality
52.58
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue61
Removal of skin lesions1-10
Removal of nail tissue899
Removal or shaving of skin growth195
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC005945PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Centers of Charlotte County PA Foot & Ankle Surgery CurrentSince Jul 27, 2009 Accepting new patients
Foot & Ankle Centers of Charlotte County PastSince Jul 27, 2009 Accepting new patients

Locations

3406 Tamiami Trl
Unit 1
Port Charlotte, FL 33952
Phone (941) 627-5161

352 Milus St
Punta Gorda, FL 33950
Phone (941) 639-0025

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": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1184885691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MILUS ST",
            "address_2": "FOOT AND ANKLE CENTERS OF CHARLOTTE COUNTY",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504552",
            "telephone_number": "941-639-0025",
            "fax_number": "941-347-7271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 MILUS ST",
            "address_2": "FOOT AND ANKLE CENTER OF CHARLOTTE COUNTY",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504552",
            "telephone_number": "941-639-0025",
            "fax_number": "941-347-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAEGE",
        "first_name": "ARLO",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005945",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "6500L",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PROVIDER #",
            "identifier": "77160",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Punta Gorda, FL

Sources for this page

Verify at the official NPI Registry.