Active NPI
Lance Alfred Nethercott, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO60763120
- Practice address
- 2728 E Main Ste a
Puyallup, WA 98372-3198 - Phone
- (253) 848-0131
- Fax
- (253) 840-6787
- NPI assigned
- Feb 6, 2014
- Last updated
- Jul 7, 2023
- 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 | PO60763120 | WA | Primary |
Addresses
Primary practice location
2728 E Main Ste a
Puyallup, WA 98372-3198
Mailing address
2728 E Main Ste a
Puyallup, WA 98372-3198
Phone (253) 848-0131
Other practice location 1
1633 N 26th St
Allentown, PA 18104-1805
Phone (610) 434-7000
Other practice location 2
10004 204th Ave E Ste 2700
Bonney Lake, WA 98391-6536
Phone (253) 862-1967
Other practice location 3
17700 SE 272nd St
370
Covington, WA 98042-4951
Phone (253) 631-0585
Other practice location 4
21137 SR 410 E Ste I
Bonney Lake, WA 98391-8775
Phone (800) 425-2805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Temple University School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1450 5TH St SE
Suite 4400
Puyallup, WA 98372-4691
Phone (253) 256-7048
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 64 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 371 |
| Removal or shaving of skin growth | 230 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO60763120 | WA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Wound Healing & Dermatology | Current | Accepting new patients | |
| Ankle & Foot Specialists of Puget Sound, PS | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Specialist of Puget Sound, PS | Current | Accepting new patients | |
| Ankle & Foot Specialists of Puget Sound, PS | Foot & Ankle Surgery | Current | Accepting new patients |
| Ankle & Foot Specialists of Puget Sound, PS | Foot & Ankle Surgery | Past | Accepting new patients |
| Ankle & Foot Specialists of Puget Sound, PS | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
10004 204th Ave E
Ste 2700
Bonney Lake, WA 98391
Phone (253) 848-6656
21137 State Route 410 E
Ste I
Bonney Lake, WA 98391
Phone (253) 862-5275
751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000
17700 SE 272nd St
#370
Kent, WA 98042
Phone (253) 631-0585
1450 5th St SE
Ste 4400
Puyallup, WA 98372
Phone (253) 697-2340
2728 E Main
Ste A
Puyallup, WA 98372
Phone (253) 841-2006
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00164
- lance.nethercott@aafsopsp-wa.direct.office.nextgen.com
Organizations & group practices 6
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.
-
dba Ankle & Foot Specialist of Puyallup
- Podiatrist
- Puyallup, WA
- NPI 1649561168
Foot & Ankle Surgery
-
- Dermatology Physician
- Bonney Lake, WA
- NPI 1538741053
-
dba Ankle & Foot Specialist of Bonney Lake
- Podiatrist
- Bonney Lake, WA
- NPI 1841578705
-
dba Ankle & Foot Specialist of Redmond
- Podiatrist
- Redmond, WA
- NPI 1902167471
Foot & Ankle Surgery
-
dba Enumclaw Foot & Ankle Clinic
- Podiatrist
- Enumclaw, WA
- NPI 1164720462
Foot & Ankle Surgery
-
dba Ankle & Foot Specialists of Puyallup
- Primary Podiatric Medicine Podiatrist
- Puyallup, WA
- NPI 1558668582
Foot & Ankle Surgery
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1891119129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2728 E MAIN STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723198",
"telephone_number": "253-848-0131",
"fax_number": "253-840-6787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2728 E MAIN STE A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723198",
"telephone_number": "253-848-0131",
"fax_number": "253-840-6787"
}
],
"practiceLocations": [
{
"address_1": "1633 N 26th St",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181041805",
"country_code": "US",
"telephone_number": "610-434-7000",
"fax_number": "610-434-7029",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10004 204th Ave E Ste 2700",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983916536",
"country_code": "US",
"telephone_number": "253-862-1967",
"fax_number": "253-862-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17700 SE 272nd St",
"address_2": "370",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "WA",
"postal_code": "980424951",
"country_code": "US",
"telephone_number": "253-631-0585",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21137 SR 410 E Ste I",
"address_purpose": "LOCATION",
"city": "Bonney Lake",
"state": "WA",
"postal_code": "983918775",
"country_code": "US",
"telephone_number": "800-425-2805",
"fax_number": "855-673-1403",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NETHERCOTT",
"first_name": "LANCE",
"middle_name": "ALFRED",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-06",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "WA",
"license": "PO60763120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.