Individual provider Active NPI

Andrew Mark Evans, D.P.M.

  • Podiatrist
  • St George, UT
National Provider Identifier
1376982199
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
9854057-0501 Issued in UT
Practice address
754 S Main St Ste 3
St George, UT 84770-5505
Phone
(435) 628-2671
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP191824 OR
Foot & Ankle Surgery Podiatrist 213ES0103X T46-2013 TX
Podiatrist 213E00000X 9854057-0501 UT Primary

Addresses

Primary practice location

754 S Main St Ste 3
St George, UT 84770-5505

Mailing address

754 S Main St Ste 3
St George, UT 84770-5505
Phone (435) 628-2671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, UT2 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
I20190401000714 OR Practitioner - Podiatry 8527309541 Reassigns benefits to 3 organizations
I20240407000011 UT Practitioner - Podiatry 8527309541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Foot and Ankle Institute LLCGroup PAC ID 4082607023, 8 clinicians

Practice addresses (Care Compare)

754 S Main St
Suite 3
St George, UT 84770-5505
Phone (435) 628-2671

Hospital & facility affiliations

  • Zion'S Way Home Health Home health agency, St. George, UT, CCN 467243
  • Intermountain Health Home Health - St. George Home health agency, St George, UT, CCN 467033
  • Enhabit Home Health of Southern Utah Home health agency, St George, UT, CCN 467055
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue587
Removal of skin lesions1-10
Removal of nail tissue770
Removal or shaving of skin growth400
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DP191824ORMDPodiatrist
9854057-0501UTMDPodiatrist
T46-2013TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare Inc Current Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
The Foot & Ankle Institute LLC Podiatrist CurrentSince May 1, 2024 Accepting new patients
Albany General Hospital CurrentSince Feb 17, 2022 Accepting new patients
Albany General Hospital CurrentSince Feb 17, 2022 Accepting new patients
South Main Surgery Center Inc Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

777 NW 9th St
Ste 102
Corvallis, OR 97330
Phone (541) 768-6769

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

675 N 5th St
Lebanon, OR 97355
Phone (541) 451-6282

930 SW Abbey St
Ste B
Newport, OR 97365
Phone (541) 574-7235

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

52 S 850 W
Ste 101
Hurricane, UT 84737

754 S Main St
Ste 3
St George, UT 84770
Phone (435) 628-2671

Interoperability endpoints

  • Direct secure messaging: andrewevans@smsc-ut.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: andrewevans@faaii-ut.direct.office.nextgen.com

Organizations & group practices 6

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 4

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1376982199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705505",
            "telephone_number": "435-628-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST STE 3",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847705505",
            "telephone_number": "435-628-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "ANDREW",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP191824",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "T46-2013",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "UT",
            "license": "9854057-0501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.