Individual provider Active NPI

Jeffrey Lee Idol, D.P.M.

  • Podiatrist
  • La Plata, MD
National Provider Identifier
1689682734
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00992 Issued in MD
Practice address
515 Charles Street
Laplata, MD 20646
Phone
(301) 934-3345
Fax
(301) 934-3345
NPI assigned
Aug 4, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00992 MD Primary

Addresses

Primary practice location

515 Charles Street
Laplata, MD 20646

Mailing address

PO Box 59714
Potomac, MD 20859-9714
Phone (301) 934-3345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100319000465 MD Practitioner - Podiatry 5193743581 Reassigns benefits to 2 organizations
I20250213002157 DC Practitioner - Podiatry 5193743581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (301) 498-0383

12090 Old Line Ctr
Suite R10A
Waldorf, MD 20602-2556
Phone (301) 498-0333

1235 E Mount Harmony Rd
Owings, MD 20736-8826
Phone (410) 257-2242

14201 Park Ctr Dr
Laurel, MD 20707-5251

220 Solomons Island Rd N
Prince Frederick, MD 20678-3926
Phone (410) 535-4884

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.51 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue72
Removal of skin lesions1-10
Removal of nail tissue327
Removal or shaving of skin growth113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2025 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2025 Accepting new patients
DRS Hertz and Idol DPM, PA Podiatrist CurrentSince Jan 31, 1993 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 11, 2025 Accepting new patients
Calvert Ambulatory Foot Surgery Center CurrentSince Jan 1, 2014 Accepting new patients
DRS. Hertz and Idol,DPM Current Accepting new patients
Precision Orthopedics and Sports Medicine Current Accepting new patients
Up Orthopedics LLC Past Accepting new patients

Locations

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

1430 Solomons Island Rd
Huntingtown, MD 20639
Phone (301) 884-6056

5 N La Plata Ct
Ste 203
La Plata, MD 20646
Phone (240) 307-4700

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

22335 Exploration Dr
Ste 1015
Lexington Park, MD 20653
Phone (301) 863-6601

220 Solomons Island Rd N
Prnc Frederck, MD 20678
Phone (410) 535-4884

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

Organizations & group practices 8

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.

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1689682734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59714",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208599714",
            "telephone_number": "301-934-3345",
            "fax_number": "301-934-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 CHARLES STREET",
            "city": "LAPLATA",
            "state": "MD",
            "postal_code": "20646",
            "telephone_number": "301-934-3345",
            "fax_number": "301-934-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IDOL",
        "first_name": "JEFFREY",
        "middle_name": "LEE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "00992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Plata, MD

Sources for this page

Verify at the official NPI Registry.