Individual provider Active NPI

Mark Alan Quist, DPM

  • Foot & Ankle Surgery Podiatrist
  • Huntersville, NC
National Provider Identifier
1285702597
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
424 Issued in NC
Practice address
16419 Northcross Dr
Suite a
Huntersville, NC 28078-5004
Phone
(704) 987-9585
Fax
(704) 987-9589
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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 424 NC Primary

Addresses

Primary practice location

16419 Northcross Dr
Suite a
Huntersville, NC 28078-5004

Mailing address

16419 Northcross Dr
Suite a
Huntersville, NC 28078-5004
Phone (704) 987-9585

Other identifiers 1

IdentifierTypeStateIssuer
890801XMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070907000574 NC Practitioner - Podiatry 9436242377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10310 Couloak Dr
Charlotte, NC 28216-7672
Phone (704) 971-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue171
Removal of skin lesions85
Removal of nail tissue1191
Removal or shaving of skin growth524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
424NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jun 1, 2020 Accepting new patients
Surgery Center on Bluefield LLC Current Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jun 1, 2020 Accepting new patients
Carolina Foot & Ankle of Huntersville, PC Foot & Ankle Surgery Past Accepting new patients

Locations

10310 Couloak Dr
Charlotte, NC 28216
Phone (704) 971-4000

10310 Couloak Dr
Ste 200
Charlotte, NC 28216
Phone (704) 971-4000

16419 Northcross Dr
Ste A
Huntersville, NC 28078
Phone (704) 987-9584

206 Joe Knox Ave
Ste D
Mooresville, NC 28117
Phone (704) 235-0474

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Interoperability endpoints

  • Direct secure messaging: mquist664241@direct.medicine.duke.edu

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 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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1285702597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16419 NORTHCROSS DR",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785004",
            "telephone_number": "704-987-9585",
            "fax_number": "704-987-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16419 NORTHCROSS DR",
            "address_2": "SUITE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785004",
            "telephone_number": "704-987-9585",
            "fax_number": "704-987-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIST",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890801X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.