Individual provider Active NPI

Justin Persky, DPM

  • Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1265953095
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003966 Issued in OH
Practice address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone
(412) 647-6340
NPI assigned
Jul 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003966 OH
Podiatrist 213E00000X 36.003966 OH Primary

Addresses

Primary practice location

3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410

Mailing address

6215 Old Troy Pike
Huber Heights, OH 45424-3646

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
I20200407000931 OH Practitioner - Podiatry 3173892189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Podiatry IncGroup PAC ID 6507936671, 16 clinicians

Practice addresses (Care Compare)

1236 Som Ctr Rd
Mayfield Heights, OH 44124-2047
Phone (216) 245-1290

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Upper Valley Medical Center Hospital, Troy, OH, CCN 360174

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as group
Quality
85.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue86
Removal of skin lesions92
Removal of nail tissue172
Removal or shaving of skin growth63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Copeland DPM Inc Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Podiatrist CurrentSince Sep 1, 2023 Accepting new patients
Cary Copeland DPM Inc Podiatrist Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408

4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709

6215 Troy Pike
Huber Heights, OH 45424
Phone (937) 236-0810

1255 E Ash St
Piqua, OH 45356
Phone (513) 773-0980

1000 Michigan St
Sidney, OH 45365
Phone (937) 492-1211

2335 W Main St
Troy, OH 45373
Phone (937) 332-3668

Interoperability endpoints

  • Direct secure messaging: jpersky@usfas.emadirect.md

Organizations & group practices 5

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": "1498867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1265953095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6215 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454243646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVE STE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133410",
            "telephone_number": "412-647-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSKY",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-01",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003966",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.