Individual provider Active NPI

Vincent P Rascon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Midland, TX
National Provider Identifier
1346236924
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1390 Issued in TX
Practice address
1913 Heritage Blvd
Midland, TX 79707-9752
Phone
(432) 520-8396
Fax
(432) 520-3296
NPI assigned
Sep 20, 2005
Last updated
Jul 29, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 1390 TX Primary

Addresses

Primary practice location

1913 Heritage Blvd
Midland, TX 79707-9752

Mailing address

1913 Heritage Blvd
Midland, TX 79707-9752
Phone (432) 520-8396

Other identifiers 7

IdentifierTypeStateIssuer
122140100OtherTXFIRSTCARE
018575301MedicaidTX
162941201OtherTXMEDICAID DME
480027409OtherRR MCR
5927378OtherTXAETNA
9686999OtherTXCIGNA
0052CTOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 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
I20080630000321 TX Practitioner - Podiatry 1951211457 Practice locations: Midland, TX
O20100930019460 TX DME Supplier - Physician - Podiatry 1456565704 Practice locations: Midland, TX

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1913 Heritage Blvd
Midland, TX 79707-9752
Phone (432) 520-8396

Merit-based Incentive Payment System (MIPS)

Final score
59.61 of 100Reported as individual
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1390TXMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1346236924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 HERITAGE BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797079752",
            "telephone_number": "432-520-8396",
            "fax_number": "432-520-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HERITAGE BLVD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797079752",
            "telephone_number": "432-520-8396",
            "fax_number": "432-520-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASCON",
        "first_name": "VINCENT",
        "middle_name": "P",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTCARE",
            "identifier": "122140100",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018575301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "162941201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "480027409",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5927378",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9686999",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0052CT",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.