Gregg Atlas, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Monticello, NY
NPI 1669416574 · NPPES record last updated Feb 12, 2013
Key facts
- NPI
- 1669416574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- N0055501 (NY)
- Practice address
- 427 Broadway
Suite 2
Monticello, NY 12701-1742 - Phone
- (845) 794-7741
- Fax
- (845) 794-0228
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Footcare Group, LLP
Practice addresses (Care Compare)
427 Broadway
Suite 2
Monticello, NY 12701-1743
Phone (845) 794-7741
Hospital & facility affiliations
- Sullivan County Public Health Services Chha
- Garnet Health Medical Center Catskills
- Garnet Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.5 of 100
- Quality
- 89.63
- Promoting interoperability
- 91
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 432 |
| Removal of skin lesions | 42 |
| Removal of nail tissue | 1772 |
| Removal or shaving of skin growth | 548 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101020000106 | NY | Practitioner - Podiatry | 6901876432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N0055501 | NY | MD | Foot & Ankle Surgery Podiatrist |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Footcare Group, LLP | Foot & Ankle Surgery | Current |
Accepting new patients |
| Family Footcare Group, LLP | Foot & Ankle Surgery | Current |
Accepting new patients |
| Family Footcare Group LLP | Foot & Ankle Surgery | Past | Accepting new patients |
| Family Footcare Group,LLP | Past | Accepting new patients | |
| Family Footcare Group LLP | Past | Accepting new patients | |
| Family Footcare Group, LLP | Past | Accepting new patients |
Locations
1987 Route 52
Ste 7
Liberty, NY 12754
Phone (845) 292-5200
390 Crystal Run Rd
Ste 110
Middletown, NY 10941
Phone (845) 692-3668
400 State Route 17M
Ste 17
Monroe, NY 10950
Phone (845) 492-8637
427 Broadway
Ste 2
Monticello, NY 12701
Phone (845) 794-7741
156 Pike St
Port Jervis, NY 12771
Phone (845) 794-7741
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- drgatlas@familyfootcare.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | N0055501 | NY | Yes |
Addresses
Primary practice location
427 Broadway
Suite 2
Monticello, NY 12701-1742
Mailing address
427 Broadway
Suite 2
Monticello, NY 12701-1742
Phone (845) 794-7741
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01948732 | Medicaid | NY | |
| 0441090001 | Other | NY | MEDICARE DMERC |
Other providers in Monticello, NY
- Megan Arnold
- Halie Aronson
- Gabriela Arteaga
- Kerriann Marie Asprea
- Kristine Atakora
- Paul Atlas
- Cassandra Liane Babcock
- Babies & Beyond, SLP, PT, OT, PLLC
- Joseph Daniel Backiel
- Jasper Raymond Tolentino Baena
All providers in Monticello, NY · Foot & Ankle Surgery Podiatrist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.