Marc S Eustaquio, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD-688 Issued in CO

Practice address

7375 W 52ND Ave Ste 350
Arvada, CO 80002-3702

Phone

(303) 423-2520

NPI assigned

Sep 29, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Table Mountain Foot and Ankle PCGroup PAC ID 0547262305, 5 clinicians

Wheat Ridge Foot and Ankle Center PCGroup PAC ID 5496645699, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.82 of 100Reported as group

Quality

72.99

Improvement activities

40

Cost

75.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Table Mountain Foot and Ankle PC

  • Foot & Ankle Surgery Podiatrist
  • Wheat Ridge, CO
  • NPI 1225187313
  Medicare reassignment Care Compare group NPD
• Wheat Ridge Foot & Ankle Center, PC

  • Foot & Ankle Surgery Podiatrist
  • Wheat Ridge, CO
  • NPI 1558541078
  Medicare reassignment Care Compare group
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138

  CO

  Medicare reassignment NPD
• Save Your Sole Foot and Ankle Specialists PC

  • Podiatrist
  • Fort Collins, CO
  • NPI 1265492904
  NPD
• Save Your Sole Foot and Ankle Specialists PC

  • Podiatrist
  • Windsor, CO
  • NPI 1700451515
  NPD
• Wheat Ridge Foot & Ankle Center, PC

  • Podiatric Clinic/Center
  • Granby, CO
  • NPI 1023789955
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1942450895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BEELER CT",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383489",
            "telephone_number": "217-390-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 W 52ND AVE STE 350",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800023702",
            "telephone_number": "303-423-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSTAQUIO",
        "first_name": "MARC",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005382",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD-688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70909067",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "020493",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "280 Exempla Cir",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800263370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Timothy Everles, LPCC
• Everside Health, LLC
• Evoke Behavioral Health LLC
• Extended Hands of Hope

• Foot & Ankle Surgery Podiatrist in Arvada, CO
• Providers in Arvada, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.