Individual provider Active NPI

Wayne Alan Hurst, DPM

  • Podiatrist
  • Cedar Park, TX
National Provider Identifier
1194758482
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1180 Issued in TX
Practice address
601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9015
Phone
(512) 259-3338
Fax
(512) 528-1472
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1180 TX Primary

Addresses

Primary practice location

601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9015

Mailing address

601 E Whitestone Blvd
Suite 226
Cedar Park, TX 78613-9015
Phone (512) 259-3338

Other identifiers 6

IdentifierTypeStateIssuer
121568305MedicaidTX
8BD530OtherTXBLUE CROSS BLUE SHIELD OF TEXAS
178090001OtherTXGROUP MEDICAID
480016443OtherTXRAILROAD MEDICARE
00618ZOtherTXGROUP MEDICARE
5608850001OtherTXDMERC-MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051026000281 TX Practitioner - Podiatry 6002833472 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne a. Hurst, DPM, PAGroup PAC ID 6103843578, 3 clinicians

Practice addresses (Care Compare)

601 E Whitestone Blvd
Cedar Park, TX 78613-9022
Phone (512) 259-3338

Merit-based Incentive Payment System (MIPS)

Final score
91.55 of 100Reported as group
Quality
83.1
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue104
Removal of skin lesions63
Removal of nail tissue33
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne a. Hurst, DPM, PA Podiatrist CurrentSince Jul 1, 2000 Accepting new patients
Brushy Creek Emergency Physicians PLLC CurrentSince May 23, 2021 Accepting new patients
Lake Travis Emergency Physicians, PLLC CurrentSince Nov 4, 2020 Accepting new patients
Samaritan Laboratories LLC PastSince Sep 3, 2014 Accepting new patients

Locations

1860 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 506-8503

3620 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 260-2732

601 E Whitestone Blvd
Ste 226
Cedar Park, TX 78613
Phone (512) 259-3338

1103 Rivery Blvd
Ste 160
Georgetown, TX 78628
Phone (512) 930-0707

1103 Rivery Blvd
Ste 255
Georgetown, TX 78628

3600 E Palm Valley Blvd
Ste 3
Round Rock, TX 78665

1925 S A W Grimes Blvd
Round Rock, TX 78664
Phone (512) 260-2732

230 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 766-1400

Organizations & group practices 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1194758482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE 226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139015",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E WHITESTONE BLVD",
            "address_2": "SUITE 226",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786139015",
            "telephone_number": "512-259-3338",
            "fax_number": "512-528-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "WAYNE",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121568305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8BD530",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "178090001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480016443",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "00618Z",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC-MEDICARE",
            "identifier": "5608850001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.