Individual provider Active NPI

David Bryan Raynor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Inverness, FL
National Provider Identifier
1265597629
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2467 Issued in FL
Practice address
490 Pleasant Grove Rd
Inverness, FL 34452-5746
Phone
(352) 726-3668
Fax
(352) 726-1003
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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 PO2467 FL Primary

Addresses

Primary practice location

490 Pleasant Grove Rd
Inverness, FL 34452-5746

Mailing address

490 Pleasant Grove Rd
Inverness, FL 34452-5746
Phone (352) 726-3668

Other identifiers 1

IdentifierTypeStateIssuer
65400OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080411000508 FL Practitioner - Podiatry 3072690239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

490 Pleasant Grove Rd
Inverness, FL 34452-5746
Phone (352) 726-3668

Hospital & facility affiliations

  • HCA Florida Citrus Hospital Hospital, Inverness, FL, CCN 100023

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue30
Removal of skin lesions1-10
Removal of nail tissue1069
Removal or shaving of skin growth448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David B Raynor DPM PA Foot & Ankle Surgery CurrentSince Feb 1, 1998 Accepting new patients
Advanced Orthopaedics Inc Foot & Ankle Surgery Past Accepting new patients
Citrus Regional Clinic of Chiropractic, PA Past Accepting new patients

Locations

490 Pleasant Grove Rd
Inverness, FL 34452
Phone (352) 726-3668

Organizations & group practices 3

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": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1265597629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344525746",
            "telephone_number": "352-726-3668",
            "fax_number": "352-726-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PLEASANT GROVE RD",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344525746",
            "telephone_number": "352-726-3668",
            "fax_number": "352-726-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "DAVID",
        "middle_name": "BRYAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO2467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.