Individual provider Active NPI

Brian J Hoover, DPM

  • Foot Surgery Podiatrist
  • Huntingdon, PA
National Provider Identifier
1609094986
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC-001976-L Issued in PA
Practice address
11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464
Phone
(814) 643-5565
Fax
(814) 643-2607
NPI assigned
Apr 23, 2007
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC-001976-L PA Primary

Addresses

Primary practice location

11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464

Mailing address

11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464
Phone (814) 643-5565

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
I20050427000590 PA Practitioner - Podiatry 6608815873 Reassigns benefits to 1 organization
Practice locations: Huntingdon, PA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11166 Stone Creek Ridge Rd
Huntingdon, PA 16652-6464
Phone (814) 643-5565

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue2794
Removal or shaving of skin growth672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC-001976-LPAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatric Senior Care LLC CurrentSince Jul 1, 2011 Accepting new patients
Raystown Podiatry LLC PastSince Jul 6, 2004 Accepting new patients
Raystown Podiatry Associates Foot Surgery PastSince Jan 1, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1609094986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11166 STONE CREEK RIDGE RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526464",
            "telephone_number": "814-643-5565",
            "fax_number": "814-643-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 STONE CREEK RIDGE RD",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166526464",
            "telephone_number": "814-643-5565",
            "fax_number": "814-643-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC-001976-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.