Individual provider Active NPI

Lee Russell Sayner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Dover, OH
National Provider Identifier
1265422141
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003372 Issued in OH
Practice address
2620A N Wooster Ave
Dover, OH 44622-9461
Phone
(330) 364-7546
Fax
(330) 364-3720
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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 36.003372 OH Primary

Addresses

Primary practice location

2620A N Wooster Ave
Dover, OH 44622-9461

Mailing address

2620A N Wooster Ave
Dover, OH 44622-9461
Phone (330) 364-7546

Other identifiers 1

IdentifierTypeStateIssuer
2502303MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040719000907 OH Practitioner - Podiatry 5890774293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2620 A N Wooster Ave
Dover, OH 44622-9461
Phone (330) 364-7546

Hospital & facility affiliations

  • Union Hospital Hospital, Dover, OH, CCN 360010

Merit-based Incentive Payment System (MIPS)

Final score
52.86 of 100Reported as group
Quality
40.48
Promoting interoperability
52
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions12
Removal of nail tissue1403
Removal or shaving of skin growth1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003372OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Foot & Ankle LLC Foot & Ankle Surgery CurrentSince May 1, 2014 Accepting new patients

Locations

2620A N Wooster Ave
Dover, OH 44622
Phone (216) 364-7546

Organizations & group practices 1

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 1

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1265422141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620A N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229461",
            "telephone_number": "330-364-7546",
            "fax_number": "330-364-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620A N WOOSTER AVE",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446229461",
            "telephone_number": "330-364-7546",
            "fax_number": "330-364-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYNER",
        "first_name": "LEE",
        "middle_name": "RUSSELL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2502303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.