NPIMap

Individual provider Active NPI

Philip F Horne, DPM

  • Podiatrist
  • Carbondale, PA
National Provider Identifier
1396707691
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003378L Issued in PA
Practice address
34 North Church St
Carbondale, PA 18407-1905
Phone
(570) 282-1107
Fax
(570) 282-1108
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC003378L PA Primary

Addresses

Primary practice location

34 North Church St
Carbondale, PA 18407-1905

Mailing address

34 North Church St
Carbondale, PA 18407-1905
Phone (570) 282-1107

Other identifiers 3

IdentifierTypeStateIssuer
1586929OtherBCBS
0012064490006MedicaidPA
17255OtherGEISINGER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000815 PA Practitioner - Podiatry 4385857309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

34 N Church St
Carbondale, PA 18407-1905
Phone (570) 282-1107

Hospital & facility affiliations

  • Interim Healthcare Services of NE PA, Inc. Home health agency, Blakely, PA, CCN 397477
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Wayne Memorial Hospital Inpatient rehabilitation facility, Honesdale, PA, CCN 39T125

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue726
Removal of skin lesions20
Removal of nail tissue729
Removal or shaving of skin growth164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Philip F Horne DPM PC Podiatrist CurrentSince May 29, 2003 Accepting new patients

Locations

34 N Church St
Carbondale, PA 18407
Phone (570) 282-1107

Organizations & group practices 1

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1396707691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 NORTH CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071905",
            "telephone_number": "570-282-1107",
            "fax_number": "570-282-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 NORTH CHURCH ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071905",
            "telephone_number": "570-282-1107",
            "fax_number": "570-282-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "PHILIP",
        "middle_name": "F",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003378L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1586929",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012064490006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "17255",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.