Individual provider Active NPI

Cory A Pilling, DPM

  • Podiatrist
  • Twin Falls, ID
National Provider Identifier
1760403364
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P187 Issued in ID
Practice address
676 Shoup Ave W Ste 12
Twin Falls, ID 83301-4615
Phone
(208) 733-0436
Fax
(208) 733-0438
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 P187 ID Primary

Addresses

Primary practice location

676 Shoup Ave W Ste 12
Twin Falls, ID 83301-4615

Mailing address

PO Box 5577
Twin Falls, ID 83303-5577
Phone (208) 678-2727

Other identifiers 8

IdentifierTypeStateIssuer
807346001MedicaidID
1369188OtherIDMEDICARE
D08608980OtherIDMEDICARE DME SUBMITTER ID
000010152082OtherIDBLUE SHIELD
P2428OtherIDBLUE CROSS
P2427OtherIDBLUE CROSS
000010152083OtherIDBLUE SHIELD
8073460001MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20060417000612 ID Practitioner - Podiatry 7416966601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Foot and Ankle Specialists PCGroup PAC ID 5395755755, 3 clinicians

Practice addresses (Care Compare)

2190 Village Park Ave
Suite 100
Twin Falls, ID 83301-5939
Phone (208) 733-0436

382 N Overland Ave
Burley, ID 83318-3433
Phone (208) 678-2727

Merit-based Incentive Payment System (MIPS)

Final score
83.74 of 100Reported as group
Quality
67.47
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue94
Removal of skin lesions24
Removal of nail tissue326
Removal or shaving of skin growth253
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
P187IDMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Foot & Ankle Specialists PC Podiatrist CurrentSince Feb 7, 2006 Accepting new patients
Sipi Ambulatory Surgery Center CurrentSince Apr 3, 2025 Accepting new patients

Locations

382 N Overland Ave
Burley, ID 83318
Phone (208) 378-7700

176 Falls Ave
Twin Falls, ID 83301
Phone (208) 337-3181

676 Shoup Ave W
Ste 12
Twin Falls, ID 83301
Phone (208) 733-0436

2190 Village Park Ave
Ste 100
Twin Falls, ID 83301
Phone (208) 733-0436

Interoperability endpoints

  • Direct secure messaging: cpilling@canyonfoot.mdlogic.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1760403364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5577",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833035577",
            "telephone_number": "208-678-2727",
            "fax_number": "208-678-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 SHOUP AVE W STE 12",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014615",
            "telephone_number": "208-733-0436",
            "fax_number": "208-733-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILLING",
        "first_name": "CORY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "ID",
            "license": "P187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807346001",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1369188",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME SUBMITTER ID",
            "identifier": "D08608980",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010152082",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P2428",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "P2427",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010152083",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8073460001",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

Verify at the official NPI Registry.