Active NPI
Jeffrey Lee Idol, D.P.M.
- Podiatrist
- La Plata, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00992
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 90
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 72 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 327 |
| Removal or shaving of skin growth | 113 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| DRS Hertz and Idol DPM, PA | Podiatrist | Current | Accepting new patients |
| Precision Orthopedics and Sports Medicine | Current | Accepting new patients | |
| Calvert Ambulatory Foot Surgery Center | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Laurel, MD
- NPI 1962766899
DC
-
- Podiatrist
- La Plata, MD
- NPI 1538178603
-
- Podiatric Clinic/Center
- Prince Frederick, MD
- NPI 1760491633
-
- Foot & Ankle Surgery Podiatrist
- La Plata, MD
- NPI 1952724676
-
dba Riva Road Surgical Center, LLC
- Foot & Ankle Surgery Podiatrist
- Annapolis, MD
- NPI 1285420836
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Cumberland, MD
- NPI 1407603954
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Greenbelt, MD
- NPI 1679328967
-
- Orthopaedic Surgery Physician
- Laurel, MD
- NPI 1134672769
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CalvertHealth Medical Center
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.