Individual provider Active NPI

Marcus D Yetter, DPM

  • Podiatrist
  • Laguna Beach, CA
National Provider Identifier
1316350044
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5099 Issued in CA
Practice address
31852 Coast Hwy Ste 105
Laguna Beach, CA 92651
Phone
(949) 499-4534
Fax
(949) 499-9877
NPI assigned
Jun 10, 2014
Last updated
Sep 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E5099 CA Primary

Addresses

Primary practice location

31852 Coast Hwy Ste 105
Laguna Beach, CA 92651

Mailing address

31852 Coast Hwy Ste 105
Laguna Beach, CA 92651-6765
Phone (949) 499-4534

Other practice location 1

23961 Calle de la Magdalena
Suite #143
Laguna Hills, CA 92653
Phone (949) 768-9495

Other practice location 2

23961 Calle de la Magdalena
Suite #143
Laguna Hills, CA 92653
Phone (949) 768-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150303001788 CA Practitioner - Podiatry 3375869621 Reassigns benefits to 3 organizations
I20251112002965 AZ Practitioner - Podiatry 3375869621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Wound CareGroup PAC ID 9537692777, 3 clinicians
Saddleback Valley Podiatry Group Inc.Group PAC ID 4183700248, 2 clinicians

Practice addresses (Care Compare)

San Clemente, CA 92672
Phone (949) 627-3272

24012 Calle de la Plata
Suite 135
Laguna Hills, CA 92653-7623
Phone (949) 768-9495

31852 Coast Hwy
Suite 105
Laguna Beach, CA 92651-6765
Phone (949) 499-4534

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue144
Removal of skin lesions20
Removal of nail tissue518
Removal or shaving of skin growth254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5099CAMDGeneral Practice Dentistry
E5099CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Wound Care Podiatrist CurrentSince Aug 27, 2024 Accepting new patients
Ms Wound Care PC Podiatrist CurrentSince Feb 27, 2025 Accepting new patients
Marcus Yetter DPM PC Podiatrist CurrentSince Feb 6, 2019 Accepting new patients
Saddleback Valley Podiatry Group Inc. Podiatrist CurrentSince Jan 10, 2015 Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Mission Hospital, Inc. Past Accepting new patients

Locations

31852 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-2258

31852 Coast Hwy
Ste 105
Laguna Beach, CA 92651
Phone (949) 499-4534

24012 Calle de la Plata
Ste 135
Laguna Hills, CA 92653
Phone (949) 455-0420

23961 Calle de la Magdalena
Ste 143
Laguna Hills, CA 92653
Phone (949) 768-9495

23961 Calle de la Magdalena
Ste 230
Laguna Hills, CA 92653
Phone (949) 364-0809

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1316350044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 105",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516765",
            "telephone_number": "949-499-4534",
            "fax_number": "949-499-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY STE 105",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "92651",
            "telephone_number": "949-499-4534",
            "fax_number": "949-499-9877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23961 Calle de la Magdalena",
            "address_2": "Suite #143",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "92653",
            "country_code": "US",
            "telephone_number": "949-768-9495",
            "fax_number": "949-768-8018",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23961 Calle de la Magdalena",
            "address_2": "Suite #143",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "92653",
            "country_code": "US",
            "telephone_number": "949-768-9495",
            "fax_number": "949-768-8018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YETTER",
        "first_name": "MARCUS",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-10",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.