Individual provider Active NPI

Gary W. Chessman, D.P.M.

  • Podiatrist
  • Oviedo, FL
National Provider Identifier
1710971056
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO0002365 Issued in FL
Practice address
7560 Red Bug Lake Road
Suite 2024
Oviedo, FL 32765-6504
Phone
(407) 679-7444
Fax
(407) 359-6840
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 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 PO0002365 FL Primary

Addresses

Primary practice location

7560 Red Bug Lake Road
Suite 2024
Oviedo, FL 32765-6504

Mailing address

7560 Red Bug Lake Road
Suite 2024
Oviedo, FL 32765-6504
Phone (407) 679-7444

Other identifiers 4

IdentifierTypeStateIssuer
625224OtherFLAETNA
65313OtherFLBCBS
390147500MedicaidFL
390171800MedicaidFL

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
I20090331000433 FL Practitioner - Podiatry 7810075587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Florida Foot and Ankle Group PAGroup PAC ID 3476575994, 6 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

7560 Red Bug Lake Rd
Suite 2024
Oviedo, FL 32765-6591
Phone (407) 679-7444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue494
Removal of nail tissue79
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Dec 16, 2010 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Dec 16, 2010 Accepting new patients
Family Podiatry of Central Florida PA Podiatrist PastSince Sep 5, 2023 Accepting new patients

Locations

525 Technology Park
Ste 109
Lake Mary, FL 32746
Phone 4076472346 ext. 111

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

Organizations & group practices 4

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1710971056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 RED BUG LAKE ROAD",
            "address_2": "SUITE 2024",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656504",
            "telephone_number": "407-679-7444",
            "fax_number": "407-359-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 RED BUG LAKE ROAD",
            "address_2": "SUITE 2024",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656504",
            "telephone_number": "407-679-7444",
            "fax_number": "407-359-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESSMAN",
        "first_name": "GARY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO0002365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "625224",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65313",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390147500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390171800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.