NPIMap

Individual provider Active NPI

Lyle Rey Folsom, DPM

  • Foot & Ankle Surgery Podiatrist
  • Carlsbad, NM
National Provider Identifier
1770698334
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
281 Issued in NM
Practice address
1016 W Pierce St
Carlsbad, NM 88220-4013
Phone
(575) 885-3445
Fax
(575) 887-0163
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 281 NM
Foot & Ankle Surgery Podiatrist 213ES0103X 281 NM Primary

Addresses

Primary practice location

1016 W Pierce St
Carlsbad, NM 88220-4013

Mailing address

1016 W Pierce St
Carlsbad, NM 88220-4013
Phone (575) 885-3445

Other identifiers 3

IdentifierTypeStateIssuer
20639261MedicaidNM
480035354OtherNMRR MEDICARE
NM015A03OtherNMBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000174 NM Practitioner - Podiatry 9739268590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Southeast New Mexico Podiatry Associates IncGroup PAC ID 2668551425, 4 clinicians

Practice addresses (Care Compare)

1016 W Pierce St
Carlsbad, NM 88220-4013

Hospital & facility affiliations

  • J & J Home Care, Inc. Home health agency, Artesia, NM, CCN 327136
  • Enhabit Home Health Home health agency, Carlsbad, NM, CCN 327172
  • Carlsbad Medical Center Hospital, Carlsbad, NM, CCN 320063
  • Artesia General Hospital Hospital, Artesia, NM, CCN 320030

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as apm
Quality
79.07
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue125
Removal of skin lesions1-10
Removal of nail tissue41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
281NMMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast New Mexico Podiatry Associates Inc CurrentSince Jan 1, 2003 Accepting new patients
Southeast New Mexico Podiatry Associates Inc Podiatrist CurrentSince Jan 1, 2003 Accepting new patients

Locations

1016 W Pierce St
Carlsbad, NM 88220
Phone (505) 628-3244

5419 N Lovington Hwy
Ste 9
Hobbs, NM 88240
Phone (505) 392-0123

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288915200000",
    "number": "1770698334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204013",
            "telephone_number": "575-885-3445",
            "fax_number": "575-887-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 W PIERCE ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882204013",
            "telephone_number": "575-885-3445",
            "fax_number": "575-887-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "LYLE",
        "middle_name": "REY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "281",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20639261",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480035354",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM015A03",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.