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
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

Other identifiers 18

IdentifierTypeStateIssuer
251363650OtherPACIGNA
0004390700OtherTXAETNA
21298OtherPAGEISSINGER HEALTH PLAN
251363650OtherPAHOP ADMINISTRATION
251363650OtherFLGENWORTH FINANCIAL
335768OtherPAHEALTH AMERICA
50001941OtherPACAPITAL BLUE CROSS
0005070180003MedicaidPA
251363650OtherOHUNITED COMMERICAL TRAVELE
1295443OtherTXAAG BENEFIT PLAN ADMINIST
001522OtherPABLUE SHIELD
480021319OtherSCRAILROAD MEDICARE
1000010001251363650OtherPAUNITED HEALTHCARE
251363650OtherPASTATE FARM HEALTH INS
251363650OtherFLAMERICAHGENERAL LIFE
251363650OtherPAPA EMPLOYES BENEFIT FUND
251363650OtherGAUNITED HEALTHCARE
338060OtherWACOMBINED INS CO

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

Locations

163 Summit Dr
Lewistown, PA 17044
Phone (717) 248-3941

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.

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "251363650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004390700",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISSINGER HEALTH PLAN",
            "identifier": "21298",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOP ADMINISTRATION",
            "identifier": "251363650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENWORTH FINANCIAL",
            "identifier": "251363650",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "335768",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50001941",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005070180003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED COMMERICAL TRAVELE",
            "identifier": "251363650",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AAG BENEFIT PLAN ADMINIST",
            "identifier": "1295443",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "001522",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480021319",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1000010001251363650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FARM HEALTH INS",
            "identifier": "251363650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAHGENERAL LIFE",
            "identifier": "251363650",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA EMPLOYES BENEFIT FUND",
            "identifier": "251363650",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "251363650",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMBINED INS CO",
            "identifier": "338060",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

Verify at the official NPI Registry.