Individual provider Active NPI

Dale C Anderson, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sebring, FL
National Provider Identifier
1780654376
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO2915 Issued in FL
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16669OtherFLFL HOSPITAL HEALTHCARE SY
9942617OtherFLCIGNA
P00158441OtherFLRAILROAD MEDICARE
002122232OtherFLUNITED HEALTHCARE
65709OtherFLBLUE CROSS BLUE SHIELD
340223100MedicaidFL
N232158OtherFLHEALTHEASE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000487 FL Practitioner - Podiatry 9931232162 Reassigns benefits to 1 organization

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue35
Removal of skin lesions1-10
Removal of nail tissue149
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sebring Podiatry Center Inc CurrentSince Feb 26, 2001 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.

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

Verify at the official NPI Registry.