Christopher John Betrus, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC006871 Issued in PA

Practice address

1660 Feehanville Dr Ste 450
Mt Prospect, IL 60056-6023

Phone

(847) 390-7666

Fax

(847) 390-9345

NPI assigned

Apr 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry Clinic of Jackson PLLCGroup PAC ID 0941594501, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002
• Dyersburg Regional Medical Center Hospital, Dyersburg, TN, CCN 440072

Merit-based Incentive Payment System (MIPS)

Final score

93.41 of 100Reported as group

Quality

92.93

Promoting interoperability

91

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: christopher.betrus.1@17899.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17899/brand/1/csg/1/fhir/r4

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.

• Podiatry Clinic of Jackson PLLC

  • Primary Podiatric Medicine Podiatrist
  • Jackson, TN
  • NPI 1033560826

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• William Terry Holt

  • Primary Podiatric Medicine Podiatrist
  • Jackson, TN
  • NPI 1013319961

  Foot & Ankle Surgery

  NPD (past)

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

• Dyersburg Health

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1043282338

  Hospital

  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1477086080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-250-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 450",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600566023",
            "telephone_number": "847-390-7666",
            "fax_number": "847-390-9345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Hollister Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485227",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10105 74th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427530",
            "country_code": "US",
            "telephone_number": "847-250-9096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETRUS",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005865",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andi Linn Beshir
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• Better Care Home Health Inc
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• Sumita Bhargava
• Callie J Biasco
• William Bielski, AU.D.

• Foot & Ankle Surgery Podiatrist in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.