Mark Christopher Yagodich, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004026L Issued in PA

Practice address

39 Rittenhouse PL
Ardmore, PA 19003-2209

Phone

(610) 642-8837

Fax

(610) 642-1607

NPI assigned

Aug 3, 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 PA

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

Temple University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pace Foot and Ankle Centers PLLCGroup PAC ID 8527399591, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bryn Mawr Hospital Hospital, Bryn Mawr, PA, CCN 390139
• Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
• Main Line Hospital Lankenau Hospital, Wynnewood, PA, CCN 390195

Merit-based Incentive Payment System (MIPS)

Final score

84.79 of 100Reported as group

Quality

72.83

Promoting interoperability

98

Improvement activities

40

Cost

72.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: myagodich1@pace.emadirect.md

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.

• Pace Foot and Ankle Centers PLLC

  • Foot & Ankle Surgery Podiatrist
  • Bryn Mawr, PA
  • NPI 1952957482
  Medicare reassignment Care Compare group NPD
• Your Next Step PC

  • Podiatrist
  • Ardmore, PA
  • NPI 1265440762
  Medicare reassignment
• Pace Foot and Ankle Centers PLLC

  • Durable Medical Equipment & Medical Supplies
  • Northampton, PA
  • NPI 1770186132

  Podiatrist

  NPD

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

• Hospital of the University of PA

  • Ambulatory Fertility Facility
  • Phila, PA
  • NPI 1033262316

  Hospital

  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Wynnewood, PA
  • NPI 1245335629
  Care Compare affiliation
• Main Line Hospitals, Inc.

  • General Acute Care Hospital
  • Bryn Mawr, PA
  • NPI 1508971441
  Care Compare affiliation
• Trustees of the University of Pennsylvania

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1851370910
  Care Compare affiliation

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1831107325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032209",
            "telephone_number": "610-642-8837",
            "fax_number": "610-642-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 RITTENHOUSE PL",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032209",
            "telephone_number": "610-642-8837",
            "fax_number": "610-642-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAGODICH",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004026L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7476158",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018222940001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0981588000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Joseph Wolf, M.D.
• Clarie-Ann Henriques Wollach, PSYD
• Michael Wollock
• Alaynia Woodard-Mitchell
• Karen S. Wosiski, APN
• Sultan Hamed M Yahya, MD
• Nina Yashin, LCSW
• Newman M Yeilding III, MD
• Daniel Yemin, PSY.D.
• Your Next Step PC

• Podiatrist in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.