Active NPI
Mark Petre, DPM
- Foot & Ankle Surgery Podiatrist
- Blue Ash, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 003652
- Practice address
- 4260 Glendale Milford Rd
Suite 103
Blue Ash, OH 45242-3763 - Phone
- (513) 769-4408
- Fax
- (513) 769-4578
- NPI assigned
- Oct 26, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 003652 | OH | Primary |
Addresses
Primary practice location
4260 Glendale Milford Rd
Suite 103
Blue Ash, OH 45242-3763
Mailing address
4260 Glendale Milford Rd
Suite 103
Blue Ash, OH 45242-3763
Phone (513) 769-4408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130717000156 | OH | Practitioner - Podiatry | 9830339753 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Podiatry Inc
Practice addresses (Care Compare)
1236 Som Ctr Rd
Mayfield Heights, OH 44124-2047
Phone (216) 245-1290
3731 S Dixie Hwy
Middletown, OH 45005-5713
Phone (513) 423-0672
4010 N Bend Rd
Suite 201
Cincinnati, OH 45211-3577
Phone (513) 541-5709
4260 Glendale Milford Rd
Suite 103
Blue Ash, OH 45242-3752
Phone (513) 769-4408
Hospital & facility affiliations
- Mercy Health - West Hospital
- The Jewish Hospital-Mercy Health
- Mercy Health Kings Mills Hospital LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 85.28
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 16 |
| Removal of nail tissue | 65 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003652 | OH | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cary Copeland DPM Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Cary Copeland DPM Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Cary Copeland DPM Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
4260 Glendale Milford Rd
Ste 103
Blue Ash, OH 45242
Phone (513) 769-4408
4010 N Bend Rd
Ste 201
Cincinnati, OH 45211
Phone (513) 451-5709
3731 S Dixie Hwy
Middletown, OH 45005
Phone (513) 423-0672
Interoperability endpoints
- mpetre33946@direct.bsmhealth.org
- mpetre@usfas.emadirect.md
Organizations & group practices 10
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.
-
- Podiatrist
- Blue Ash, OH
- NPI 1205766292
-
- Podiatrist
- Mentor, OH
- NPI 1467328336
-
- Podiatrist
- Troy, OH
- NPI 1689504649
-
- Podiatrist
- Tallmadge, OH
- NPI 1710853668
-
- Podiatrist
- Cincinnati, OH
- NPI 1902736945
-
- Podiatrist
- Mayfield Heights, OH
- NPI 1902772874
Hospital & facility affiliations 4
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": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1821398769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4260 GLENDALE MILFORD RD",
"address_2": "SUITE 103",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452423763",
"telephone_number": "513-769-4408",
"fax_number": "513-769-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4260 GLENDALE MILFORD RD",
"address_2": "SUITE 103",
"city": "BLUE ASH",
"state": "OH",
"postal_code": "452423763",
"telephone_number": "513-769-4408",
"fax_number": "513-769-4578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRE",
"first_name": "MARK",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-26",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "OH",
"license": "003652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ash, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.