NPIMap

Individual provider Active NPI

Glenn Christopher Woodley, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Honesdale, PA
National Provider Identifier
1477948743
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006677 Issued in PA
Practice address
3355 Lake Ariel Hwy
Honesdale, PA 18431-1156
Phone
(570) 228-2990
NPI assigned
Apr 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO4009 FL
Foot & Ankle Surgery Podiatrist 213ES0103X SC006677 PA Primary

Addresses

Primary practice location

3355 Lake Ariel Hwy
Honesdale, PA 18431-1156

Mailing address

3355 Lake Ariel Hwy
Honesdale, PA 18431-1156
Phone (570) 228-2990

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
I20210630003371 PA Practitioner - Podiatry 1557665064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Foot and Ankle CenterGroup PAC ID 4082022900, 2 clinicians

Practice addresses (Care Compare)

3355 Lake Ariel Hwy
Honesdale, PA 18431-1156
Phone (570) 228-2990

Hospital & facility affiliations

  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

Merit-based Incentive Payment System (MIPS)

Final score
86.81 of 100Reported as individual
Quality
76.25
Promoting interoperability
89
Improvement activities
40
Cost
88.94

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 tissue102
Removal of skin lesions21
Removal of nail tissue1146
Removal or shaving of skin growth412

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Foot and Ankle Center CurrentSince Feb 16, 2021 Accepting new patients

Locations

3355 Lake Ariel Hwy
Ste B
Honesdale, PA 18431

3355 Lake Ariel Hwy
Honesdale, PA 18431
Phone (570) 228-2990

Interoperability endpoints

  • Direct secure messaging: glenn.woodley.1@23123.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23123/brand/1/csg/1/fhir/r4

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 11

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624665600000",
    "number": "1477948743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311156",
            "telephone_number": "570-228-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 LAKE ARIEL HWY",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311156",
            "telephone_number": "570-228-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "GLENN",
        "middle_name": "CHRISTOPHER",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4009",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.