Individual provider Active NPI

Michael Shayne Presti, DPM

  • Podiatrist
  • Havre de Grace, MD
National Provider Identifier
1245344852
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01342 Issued in MD
Practice address
1500 Blenhiem Farm LN Ste C
Havre de Grace, MD 21078-2042
Phone
(410) 939-0055
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01342 MD Primary

Addresses

Primary practice location

1500 Blenhiem Farm LN Ste C
Havre de Grace, MD 21078-2042

Mailing address

1213 Stevenage CT
Abingdon, MD 21009
Phone (410) 676-1877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070706000148 MD Practitioner - Podiatry 4486754363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Mountain Spring Vascular LLCGroup PAC ID 2062826316, 28 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2012 S Tollgate Rd
Suite 100 102 Mountain Spring Podiatry
Bel Air, MD 21015-5900
Phone (844) 333-8411

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049

Merit-based Incentive Payment System (MIPS)

Final score
78.44 of 100Reported as group
Quality
59.97
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue77
Removal of skin lesions1-10
Removal of nail tissue1012
Removal or shaving of skin growth661
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01342MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Spring Vascular LLC Podiatrist CurrentSince Apr 27, 2025 Accepting new patients
Mountain Spring Vascular LLC Podiatrist CurrentSince Apr 27, 2025 Accepting new patients

Locations

2012 S Tollgate Rd
Ste 100102
Bel Air, MD 21015
Phone (443) 282-9424

2012 S Tollgate Rd
Ste 100
Bel Air, MD 21015
Phone (410) 569-5155

360 E Pulaski Hwy
Ste 2B
Elkton, MD 21921
Phone (410) 403-5075

8100 Sandpiper Cir
Ste 104
Nottingham, MD 21236
Phone (410) 933-3300

Interoperability endpoints

  • Direct secure messaging: michael.presti.1@23046.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1245344852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 STEVENAGE CT",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21009",
            "telephone_number": "410-676-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 BLENHIEM FARM LN STE C",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782042",
            "telephone_number": "410-939-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTI",
        "first_name": "MICHAEL",
        "middle_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.