Individual provider Active NPI

Matthew McQuaid, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lakeport, CA
National Provider Identifier
1962405613
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E3998 Issued in CA
Practice address
5150 Hill Rd E
Ste a
Lakeport, CA 95453-5100
Phone
(707) 263-3727
Fax
(707) 263-5236
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E3998 CA Primary
Podiatrist 213E00000X E3998 CA

Addresses

Primary practice location

5150 Hill Rd E
Ste a
Lakeport, CA 95453-5100

Mailing address

5150 Hill Rd E
Ste a
Lakeport, CA 95453-5100
Phone (707) 263-3727

Other identifiers 2

IdentifierTypeStateIssuer
000E39980MedicaidCA
480028899OtherCARAIL ROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20081112000818 CA Practitioner - Podiatry 8325107899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ukiah Adventist HospitalGroup PAC ID 6406816123, 136 clinicians
Sutter Bay HospitalsGroup PAC ID 3476506528, 45 clinicians
Sutter Lakeside Home Medical ServicesGroup PAC ID 1850338054, 19 clinicians

Practice addresses (Care Compare)

245 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

275 Hospital Dr
Ukiah, CA 95482-4531
Phone (707) 462-3111

5150 Hill Rd E
Suite a
Lakeport, CA 95453-5100
Phone (707) 263-3727

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Hospital & facility affiliations

  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.56
Promoting interoperability
93
Improvement activities
40
Cost
69.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue569
Removal of nail tissue462
Removal or shaving of skin growth219
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Hospitals CurrentSince Apr 1, 2002 Accepting new patients
Ukiah Adventist Hospital CurrentSince Mar 9, 2014 Accepting new patients
Matthew McQuaid, DPM, Inc. Podiatrist CurrentSince Mar 11, 1996 Accepting new patients
Sutter Bay Hospitals CurrentSince Apr 1, 2002 Accepting new patients
Ukiah Adventist Hospital CurrentSince Mar 9, 2014 Accepting new patients
Sutter Bay Hospitals Current Accepting new patients
St Lukes Health Care Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

987 Parallel Dr
Ste C
Lakeport, CA 95453
Phone (707) 262-5000

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

5150 Hill Rd E
Ste A
Lakeport, CA 95453
Phone (707) 263-3727

415 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-1823

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

Interoperability endpoints

  • Direct secure messaging: mmcquaid194586@hisp.ehr.sutterhealth.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 2

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1962405613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E",
            "address_2": "STE A",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-3727",
            "fax_number": "707-263-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 HILL RD E",
            "address_2": "STE A",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535100",
            "telephone_number": "707-263-3727",
            "fax_number": "707-263-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "MATTHEW",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E3998",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E39980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "480028899",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

Verify at the official NPI Registry.