Active NPI
Gary A Raymond, DPM
- Foot Surgery Podiatrist
- Altoona, PA
National Provider Identifier
1942204367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- SC002487L
- Practice address
- 711 Logan Blvd
Altoona, PA 16602-4165 - Phone
- (814) 943-3668
- Fax
- (814) 942-7635
- NPI assigned
- Jun 13, 2005
- 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 Surgery Podiatrist | 213ES0131X | SC002487L | PA | Primary |
Addresses
Primary practice location
711 Logan Blvd
Altoona, PA 16602-4165
Mailing address
711 Logan Blvd
Altoona, PA 16602-4165
Phone (814) 943-3668
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009025880006 | Medicaid | PA | |
| 399941327 | Other | PA | GEISINGER |
| 99382 | Other | PA | HEALTH AMERICA |
| 251753069 | Other | PA | AETNA |
| 1019736 | Other | PA | GATEWAY |
| RA430959 | Other | PA | BC/BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | garyraymonddpm@advancedregionalcenter.medentdirect.com | Direct |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.17 of 100
- Quality
- 70.35
- Improvement activities
- 40
- Cost
- 87.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC002487L | PA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary a Raymond, DPM PC | Foot Surgery | Current | Accepting new patients |
| Gary a Raymond, DPM, PC | Foot Surgery | Current | Accepting new patients |
| Ebensburg Family Medicine Inc | Past | Accepting new patients |
Locations
711 Logan Blvd
Altoona, PA 16602
Interoperability endpoints
- garyraymonddpm@advancedregionalcenter.medentdirect.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Ebensburg, PA
- NPI 1366472318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1942204367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024165",
"telephone_number": "814-943-3668",
"fax_number": "814-942-7635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "GARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC002487L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009025880006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "399941327",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "99382",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "251753069",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1019736",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "RA430959",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "garyraymonddpm@advancedregionalcenter.medentdirect.com",
"affiliation": "N",
"endpointDescription": "direct message address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "711 Logan Blvd",
"city": "Altoona",
"state": "PA",
"country_code": "US",
"postal_code": "166024165",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.