Preston John Panicco, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

3057 Issued in TX

Practice address

14615 San Pedro Ave Ste 160
San Antonio, TX 78232-4364

Phone

(210) 899-1026

Fax

(210) 490-1878

NPI assigned

Jun 24, 2016

Last updated

May 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, 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

Specialty

Podiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

San Antonio Podiatry Associates PLLCGroup PAC ID 6305736547, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospital Stone Oak Hospital, San Antonio, TX, CCN 670055

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Antonio Podiatry Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • San Antonio, TX
  • NPI 1053344143
  Medicare reassignment Care Compare group NPD
• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1548235302

  Foot & Ankle Surgery

  Medicare reassignment NPD
• San Antonio Podiatry Associates, PLLC

  dba Greater Austin Podiatry Associates

  • Foot & Ankle Surgery Podiatrist
  • Kyle, TX
  • NPI 1457069403
  NPD
• Desert Orthopaedic Center, LTD.

  • Orthopaedic Surgery Physician
  • Las Vegas, NV
  • NPI 1598087223
  NPD (past)

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

• Methodist Healthcare System of San Antonio LTD LLP

  dba Methodist Hospital Stone Oak

  • General Acute Care Hospital
  • San Antonio, TX
  • NPI 1659525236
  Care Compare affiliation

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1467803064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 720",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293479",
            "telephone_number": "210-889-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14615 SAN PEDRO AVE STE 160",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782324364",
            "telephone_number": "210-899-1026",
            "fax_number": "210-490-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANICCO",
        "first_name": "PRESTON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pandya Medical P.a.
• Abhishek Pandya, DO
• Mayank Pandya, M.D.
• Anna Maria Panek, RCP/RRT
• Stephanie Kathleen Pangtay
• Bozena Panka
• Helen Pankowsky, MD
• Lauren A Pankratz, M.D.
• William Pannebaker
• Everett Bernard Pannkuk V, DO

• Foot & Ankle Surgery Podiatrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.