Individual provider Active NPI

John Vito Lopiccolo, D.P.M.

  • Podiatrist
  • Morehead City, NC
National Provider Identifier
1679599963
Registry record updated Jun 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
444 Issued in NC
Practice address
302 North 35TH Street
Morehead City, NC 28557
Phone
(252) 247-3256
Fax
(252) 808-3183
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 444 NC Primary

Addresses

Primary practice location

302 North 35TH Street
Morehead City, NC 28557

Mailing address

302 North 35TH Street
Morehead City, NC 28557
Phone (252) 247-3256

Other identifiers 2

IdentifierTypeStateIssuer
08070OtherNCBCBS
89087UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090709000076 NC Practitioner - Podiatry 0941352777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Foot and Ankle Specialist PCGroup PAC ID 7012069859, 2 clinicians

Practice addresses (Care Compare)

302 N 35TH St
Morehead City, NC 28557-3106
Phone (252) 247-3256

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
60
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue353
Removal of skin lesions127
Removal of nail tissue998
Removal or shaving of skin growth465
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
444NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Foot & Ankle Specialist, PC Podiatrist CurrentSince Mar 13, 2002 Accepting new patients

Locations

302 N 35th St
Morehead City, NC 28557
Phone (252) 247-3256

Organizations & group practices 1

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 1

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1679599963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NORTH 35TH STREET",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-3256",
            "fax_number": "252-808-3183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NORTH 35TH STREET",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-247-3256",
            "fax_number": "252-808-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPICCOLO",
        "first_name": "JOHN",
        "middle_name": "VITO",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "08070",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89087U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.