Individual provider Active NPI

Eric I Muca, DPM

  • Podiatrist
  • Saco, ME
National Provider Identifier
1558330217
Registry record updated Apr 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD1025 Issued in ME
Practice address
333 Lincoln St
Saco, ME 04072-3113
Phone
(207) 282-6330
Fax
(207) 283-3338
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD1025 ME Primary

Addresses

Primary practice location

333 Lincoln St
Saco, ME 04072-3113

Mailing address

333 Lincoln St
Saco, ME 04072-3113
Phone (207) 282-6330

Other identifiers 6

IdentifierTypeStateIssuer
038319OtherANTHEM
2292732OtherAETNA
6793980001OtherMEMEDICARE PTAN
6793980001OtherNCS DME
038319OtherMEANTHEM
221470099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20091216000292 ME Practitioner - Podiatry 1759421183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Lincoln St
Saco, ME 04072-3113
Phone (207) 282-6330

Hospital & facility affiliations

  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions38
Removal of nail tissue1685
Removal or shaving of skin growth1047
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Muca DPM LLC Podiatrist CurrentSince Apr 1, 2013 Accepting new patients
Intermed, PA PastSince Mar 20, 1991 Accepting new patients
Intermed, PA Past Accepting new patients

Locations

1250 Forest Ave
Ste 303
Portland, ME 04103
Phone (207) 772-8962

333 Lincoln St
Ste 103
Saco, ME 04072
Phone (207) 899-6453

333 Lincoln St
Saco, ME 04072
Phone (207) 282-5188

Organizations & group practices 3

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 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1558330217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LINCOLN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723113",
            "telephone_number": "207-282-6330",
            "fax_number": "207-283-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LINCOLN ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040723113",
            "telephone_number": "207-282-6330",
            "fax_number": "207-283-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCA",
        "first_name": "ERIC",
        "middle_name": "I",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ME",
            "license": "POD1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "038319",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2292732",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6793980001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCS DME",
            "identifier": "6793980001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "038319",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221470099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saco, ME

Sources for this page

Verify at the official NPI Registry.