Active NPI
Thomas Clinton Pfennigwerth, DPM
- Podiatrist
- Seneca, PA
National Provider Identifier
1235130071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC005515
- Practice address
- 3742 State Route 257
Seneca, PA 16346-3318 - Phone
- (814) 677-0041
- Fax
- (814) 676-6196
- NPI assigned
- Aug 2, 2005
- Last updated
- Oct 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC005515 | PA | Primary |
Addresses
Primary practice location
3742 State Route 257
Seneca, PA 16346-3318
Mailing address
3742 State Route 257
Seneca, PA 16346-3318
Phone (814) 677-0041
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1394014 | Other | PA | HIGHMARK BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050404000481 | PA | Practitioner - Podiatry | 0042267981 | Practice locations: Franklin, PA; Seneca, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems Inc
Practice addresses (Care Compare)
316 Allegheny Blvd
Suite B
Franklin, PA 16323-6208
Phone (814) 432-7200
3742 State Route 257
Seneca, PA 16346-3318
Phone (814) 677-0041
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 201 |
| Removal of skin lesions | 69 |
| Removal of nail tissue | 4117 |
| Removal or shaving of skin growth | 839 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Seneca, PA
- NPI 1013090745
-
- General Acute Care Hospital
- Seneca, PA
- NPI 1619069440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1235130071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3742 STATE ROUTE 257",
"city": "SENECA",
"state": "PA",
"postal_code": "163463318",
"telephone_number": "814-677-0041",
"fax_number": "814-676-6196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3742 STATE ROUTE 257",
"city": "SENECA",
"state": "PA",
"postal_code": "163463318",
"telephone_number": "814-677-0041",
"fax_number": "814-676-6196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFENNIGWERTH",
"first_name": "THOMAS",
"middle_name": "CLINTON",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC005515",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "1394014",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.