Individual provider Active NPI

Michael J. Skonieczny, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plymouth, MA
National Provider Identifier
1467736603
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2448 Issued in MA
Practice address
116 Court St Ste 3
Plymouth, MA 02360-8710
Phone
(508) 747-1973
NPI assigned
Oct 6, 2011
Last updated
Nov 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X LPR00101 RI
Podiatrist 213E00000X 006630 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 2448 MA Primary

Addresses

Primary practice location

116 Court St Ste 3
Plymouth, MA 02360-8710

Mailing address

116 Court St Ste 3
Plymouth, MA 02360-8710
Phone (508) 747-1973

Other practice location 1

1200 Waters Pl
Suite M101
Bronx, NY 10461-2728
Phone (718) 863-0244

Other practice location 2

400 West St Ste 2
Brockton, MA 02301-4170
Phone (508) 747-1973

Other practice location 3

68 Camp St Ste 2
Hyannis, MA 02601-3048
Phone (774) 470-4507

Other practice location 4

675 Paramount Dr Ste 204
Raynham, MA 02767-5416
Phone (508) 936-3028

Other names 1

  • Dr. Michael J Skonieczny Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161017000430 MA Practitioner - Podiatry 6406085224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plymouth Podiatry PCGroup PAC ID 8820335003, 4 clinicians

Practice addresses (Care Compare)

675 Paramount Dr
Suite 204
Raynham, MA 02767-5416
Phone (508) 936-3028

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.69 of 100Reported as group
Quality
84.42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue126
Removal of skin lesions29
Removal of nail tissue682
Removal or shaving of skin growth553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006630NYMDPodiatrist
LPR00101RIMDPodiatrist
2448MAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Podiatry PC Podiatrist CurrentSince Sep 28, 2017 Accepting new patients
Plymouth Podiatry Bidco PC CurrentSince Jun 25, 2025 Accepting new patients
Plymouth Podiatry PC Podiatrist CurrentSince Jun 1, 2019 Accepting new patients
Plymouth Podiatry PC Podiatrist Past Accepting new patients
Harry L. Shoemaker, DPM Past Accepting new patients

Locations

400 West St
Ste 2
Brockton, MA 02301
Phone (508) 586-0540

68 Camp St
Ste 2
Hyannis, MA 02601
Phone (774) 470-4507

116 Court St
Ste 3
Plymouth, MA 02360
Phone (508) 746-2138

135 Sandwich St
Plymouth, MA 02360
Phone (508) 746-4410

116 Court St
Plymouth, MA 02360
Phone (508) 746-2138

675 Paramount Dr
Ste 204
Raynham, MA 02767
Phone (508) 824-1780

167 Broadway
Taunton, MA 02780
Phone (508) 747-1973

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGJBD/Endpoint/DCGJBD
  • FHIR API: https://api.platform.athenahealth.com/18003/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGJBD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1467736603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 COURT ST STE 3",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023608710",
            "telephone_number": "508-747-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Waters Pl",
            "address_2": "Suite M101",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612728",
            "country_code": "US",
            "telephone_number": "718-863-0244",
            "fax_number": "718-863-0246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 West St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023014170",
            "country_code": "US",
            "telephone_number": "508-747-1973",
            "fax_number": "508-747-5392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Camp St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hyannis",
            "state": "MA",
            "postal_code": "026013048",
            "country_code": "US",
            "telephone_number": "774-470-4507",
            "fax_number": "774-810-7189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 Paramount Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Raynham",
            "state": "MA",
            "postal_code": "027675416",
            "country_code": "US",
            "telephone_number": "508-936-3028",
            "fax_number": "508-828-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKONIECZNY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "RI",
            "license": "LPR00101",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006630",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MA",
            "license": "2448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAEL",
            "last_name": "SKONIECZNY",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.