Individual provider Active NPI

Scott Homer, DPM

  • Foot & Ankle Surgery Podiatrist
  • Saint Clair Shores, MI
National Provider Identifier
1194141010
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901002514 Issued in MI
Practice address
27609 Little Mack Ave
Saint Clair Shores, MI 48081
Phone
(586) 274-7070
Fax
(586) 294-9481
NPI assigned
Mar 17, 2014
Last updated
Mar 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 5901002514 MI Primary

Addresses

Primary practice location

27609 Little Mack Ave
Saint Clair Shores, MI 48081

Mailing address

27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833
Phone (586) 294-7070

Other practice location 1

27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833
Phone (586) 294-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20140825001680 MI Practitioner - Podiatry 3476771940 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

27609 Little Mack Ave
Saint Clair Shores, MI 48081-1833
Phone (586) 294-7070

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue170
Removal of nail tissue753
Removal or shaving of skin growth944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901002514MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Podiatry Services P. C. Podiatrist CurrentSince Sep 17, 2016 Accepting new patients
Clawson Footcare Specialists PC Podiatrist CurrentSince Dec 1, 2015 Accepting new patients
Scott M Homer DPM PC Podiatrist CurrentSince Feb 1, 2016 Accepting new patients
Larry N. Magid, DPM PC Foot & Ankle Surgery CurrentSince Mar 26, 2016 Accepting new patients
Allen Park Footcare Specialist PLLC Podiatrist CurrentSince Mar 1, 2016 Accepting new patients

Locations

19250 Ecorse Rd
Allen Park, MI 48101
Phone (248) 288-8900

615 W 14 Mile Rd
Clawson, MI 48017
Phone (248) 288-8900

27609 Little Mack Ave
St Clr Shores, MI 48081
Phone (586) 274-7070

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1194141010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27609 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480811833",
            "telephone_number": "586-294-7070",
            "fax_number": "586-294-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27609 LITTLE MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-274-7070",
            "fax_number": "586-294-9481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27609 Little Mack Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Clair Shores",
            "state": "MI",
            "postal_code": "480811833",
            "country_code": "US",
            "telephone_number": "586-294-7070",
            "fax_number": "586-294-9481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOMER",
        "first_name": "SCOTT",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-17",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.