Individual provider Active NPI

Stephen Vincent Wilkinson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Collins, CO
National Provider Identifier
1568482115
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD.0000808 Issued in CO
Practice address
1355 Riverside Ave Ste C
Fort Collins, CO 80524-4366
Phone
(970) 484-4620
Fax
(970) 484-4645
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 POD.0000808 CO Primary

Addresses

Primary practice location

1355 Riverside Ave Ste C
Fort Collins, CO 80524-4366

Mailing address

1355 Riverside Ave Ste C
Fort Collins, CO 80524-4366
Phone (970) 484-4620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20230201001832 MT Practitioner - Podiatry 6103845250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot Care Center LLCGroup PAC ID 2668555665, 4 clinicians

Practice addresses (Care Compare)

3990 Ave D
Billings, MT 59102-7531
Phone (406) 252-5444

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

Merit-based Incentive Payment System (MIPS)

Final score
89.52 of 100Reported as individual
Quality
71.75
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue292
Removal of skin lesions1-10
Removal of nail tissue1407
Removal or shaving of skin growth312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
386NEMDVision Therapy Optometrist
POD.0000808COMDFoot & Ankle Surgery Podiatrist
158WYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Care Center LLC Foot & Ankle Surgery CurrentSince Feb 1, 2023 Accepting new patients
Foot Care Center LLC Foot & Ankle Surgery Past Accepting new patients

Locations

3990 Avenue D
Billings, MT 59102
Phone (406) 252-5444

Organizations & group practices 2

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1568482115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244366",
            "telephone_number": "970-484-4620",
            "fax_number": "970-484-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RIVERSIDE AVE STE C",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244366",
            "telephone_number": "970-484-4620",
            "fax_number": "970-484-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "STEPHEN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.