Charles Milo Halverson, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

226 Issued in NE

Practice address

1540 North Bell Street
Fremont, NE 68025-3537

Phone

(402) 721-7171

Fax

(402) 721-7233

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Fremont Health Hospital, Fremont, NE, CCN 280077
• St Francis Memorial Hospital Hospital, West Point, NE, CCN 281322
• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Merit-based Incentive Payment System (MIPS)

Final score

92.6 of 100Reported as apm

Quality

82.13

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

15 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Foot Care Center, PC

  • Foot Surgery Podiatrist
  • Fremont, NE
  • NPI 1063741114
  Medicare reassignment NPD Authorized official
• Heibel Dermatology Clinic LLC

  • Dermatology Physician
  • Lincoln, NE
  • NPI 1073679940
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbus Community Hospital Inc

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare affiliation
• Franciscan Care Services Inc

  • Critical Access Hospital
  • West Point, NE
  • NPI 1588673578
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1033698543
  Care Compare affiliation
• Methodist Fremont Health

  • Rural Acute Care Hospital
  • Fremont, NE
  • NPI 1376498543
  Care Compare affiliation

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1821188558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 NORTH BELL STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253537",
            "telephone_number": "402-721-7171",
            "fax_number": "402-721-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 NORTH BELL STREET",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680253537",
            "telephone_number": "402-721-7171",
            "fax_number": "402-721-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALVERSON",
        "first_name": "CHARLES",
        "middle_name": "MILO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NE",
            "license": "226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480022397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480022398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91174800200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brielle Hall
• Rochelle Hall
• Matthew Halloran, PLMHP
• Debra J. Hallstrom, MS LIMHP LMHP LADC
• Aryn Halsey
• Gavin Conner Hamilton-Davis
• Alex JG Hamilton, PHARMD
• Kaitlyn-Michelle Hamilton, PLADC
• Amber Lynn Hammond
• Chelsea A Hamzhie, DNP

• Foot Surgery Podiatrist in Fremont, NE
• Providers in Fremont, NE by specialty
• Foot Surgery Podiatrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.

Verify at the official NPI Registry.