Active NPI
Dale C Anderson, DPM
- Foot & Ankle Surgery Podiatrist
- Sebring, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO2915
- Practice address
- 6801 US Highway 27 N
#D3
Sebring, FL 33870-7840 - Phone
- (863) 314-8600
- Fax
- (863) 314-8556
- NPI assigned
- Jan 25, 2006
- Last updated
- Feb 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO2915 | FL | Primary |
Addresses
Primary practice location
6801 US Highway 27 N
#D3
Sebring, FL 33870-7840
Mailing address
6801 US Highway 27 N
#D3
Sebring, FL 33870-7840
Phone (863) 314-8600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16669 | Other | FL | FL HOSPITAL HEALTHCARE SY |
| 9942617 | Other | FL | CIGNA |
| P00158441 | Other | FL | RAILROAD MEDICARE |
| 002122232 | Other | FL | UNITED HEALTHCARE |
| 65709 | Other | FL | BLUE CROSS BLUE SHIELD |
| 340223100 | Medicaid | FL | |
| N232158 | Other | FL | HEALTHEASE KID CARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
115 W Bay St
Wauchula, FL 33873-3135
Phone (863) 773-3785
6801 US Hwy 27 N
Suite D3
Sebring, FL 33870-1046
Phone (863) 314-8600
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 35 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 149 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sebring Podiatry Center Inc | Current | Accepting new patients |
Locations
6801 US 27 N
Ste D3
Sebring, FL 33870
Phone (863) 314-8600
Organizations & group practices 1
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.
-
- Foot Surgery Podiatrist
- Sebring, FL
- NPI 1942315171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329436800000",
"number": "1780654376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "#D3",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-314-8600",
"fax_number": "863-314-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 US HIGHWAY 27 N",
"address_2": "#D3",
"city": "SEBRING",
"state": "FL",
"postal_code": "338707840",
"telephone_number": "863-314-8600",
"fax_number": "863-314-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "DALE",
"middle_name": "C",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2012-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO2915",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL HOSPITAL HEALTHCARE SY",
"identifier": "16669",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9942617",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00158441",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "002122232",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "65709",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340223100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE KID CARE",
"identifier": "N232158",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.