Individual provider Active NPI

Mark Joseph Metzger Sr., DPM

  • Foot & Ankle Surgery Podiatrist
  • Lake Worth, FL
National Provider Identifier
1699773176
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-0002641 Issued in FL
Practice address
7138 Lake Worth Rd
Suite C
Lake Worth, FL 33467-2970
Phone
(561) 939-6325
Fax
(561) 899-0460
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO-0002641 FL
Radiology Podiatrist 213ER0200X PO-0002641 FL
Sports Medicine Podiatrist 213ES0000X PO-0002641 FL
Foot Surgery Podiatrist 213ES0131X PO-0002641 FL
Surgical Assistant 246ZC0007X
Foot & Ankle Surgery Podiatrist 213ES0103X PO-0002641 FL Primary

Addresses

Primary practice location

7138 Lake Worth Rd
Suite C
Lake Worth, FL 33467-2970

Mailing address

3500 Princeton Dr
Wellington, FL 33414-9353
Phone (561) 939-6325

Other identifiers 1

IdentifierTypeStateIssuer
340097200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20041011000097 FL Practitioner - Podiatry 9032178470 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Integrative Foot and Ankle LLCGroup PAC ID 5496902611, 15 clinicians
Pedirite Medical FL LLCGroup PAC ID 7113336843, 14 clinicians

Practice addresses (Care Compare)

5405 Okeechobee Blvd
Suite 303
West Palm Beach, FL 33417-4554
Phone (561) 293-3439

60 N Hwy 17 92
Debary, FL 32713-2513
Phone (212) 764-0008

7138 Lake Worth Rd C
Metzher Podiatry Care
Lake Worth, FL 33467-2970
Phone (561) 939-6325

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1972
Removal or shaving of skin growth1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-0002641FLMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
M. J. Metzger, LLC Primary Podiatric Medicine CurrentSince May 1, 2021 Accepting new patients
Pedirite Medical FL LLC CurrentSince Apr 1, 2021 Accepting new patients
Integrative Foot and Ankle LLC Foot & Ankle Surgery CurrentSince Feb 25, 2021 Accepting new patients

Locations

60 N US Highway 17 92
Debary, FL 32713
Phone (386) 668-4426

7138 Lake Worth Rd
Ste C
Lake Worth, FL 33467
Phone (561) 939-6325

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

5405 Okeechobee Blvd
Ste 303
West Palm Beach, FL 33417
Phone (561) 293-3439

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598400000000",
    "number": "1699773176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 PRINCETON DR",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149353",
            "telephone_number": "561-939-6325",
            "fax_number": "561-899-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 LAKE WORTH RD",
            "address_2": "SUITE C",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672970",
            "telephone_number": "561-939-6325",
            "fax_number": "561-899-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO-0002641",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "FL",
            "license": "PO-0002641",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "FL",
            "license": "PO-0002641",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO-0002641",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO-0002641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340097200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.