Individual provider Active NPI

Felicia Bock, DPM

  • Foot & Ankle Surgery Podiatrist
  • West Pittston, PA
National Provider Identifier
1477840072
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006276 Issued in PA
Practice address
810 Wyoming Ave
West Pittston, PA 18643-2741
Phone
(570) 654-4371
Fax
(570) 654-0455
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC006276 PA Primary

Addresses

Primary practice location

810 Wyoming Ave
West Pittston, PA 18643-2741

Mailing address

810 Wyoming Ave
West Pittston, PA 18643-2741
Phone (570) 654-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140807001756 PA Practitioner - Podiatry 1254558620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael C Baloga DPM, PCGroup PAC ID 8921253154, 5 clinicians

Practice addresses (Care Compare)

55 S River St
FL 2
Plains, PA 18705-1234
Phone (570) 654-4371

810 Wyoming Ave
West Pittston, PA 18643-2741
Phone (570) 654-4371

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Wilkes Barre, PA, CCN 397675
  • Commonwealth Home Health & Hospice of Wilkes-Barre Home health agency, Forty Fort, PA, CCN 397021
  • Wilkes-Barre General Hospital Hospital, Wilkes-Barre, PA, CCN 390137
  • Geisinger Wyoming Valley Medical Center Hospital, Wilkes Barre, PA, CCN 390270

Merit-based Incentive Payment System (MIPS)

Final score
84.32 of 100Reported as group
Quality
48.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue214
Removal of skin lesions1-10
Removal of nail tissue1426
Removal or shaving of skin growth310
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006276PAMDFoot & Ankle Surgery Podiatrist

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1477840072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WYOMING AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432741",
            "telephone_number": "570-654-4371",
            "fax_number": "570-654-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WYOMING AVE",
            "city": "WEST PITTSTON",
            "state": "PA",
            "postal_code": "186432741",
            "telephone_number": "570-654-4371",
            "fax_number": "570-654-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "FELICIA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Pittston, PA

Sources for this page

Verify at the official NPI Registry.