Individual provider Active NPI

Catherine Ann Paukovitz, D.P.M.

  • Podiatrist
  • Rock Hill, SC
National Provider Identifier
1962463489
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
534 Issued in SC
Practice address
430 S Herlong Ave
Suite 105
Rock Hill, SC 29732-9446
Phone
(803) 327-2217
Fax
(803) 327-2272
NPI assigned
Apr 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 534 SC Primary

Addresses

Primary practice location

430 S Herlong Ave
Suite 105
Rock Hill, SC 29732-9446

Mailing address

PO Box 337
Fort Mill, SC 29716-0337
Phone (803) 327-2217

Other identifiers 1

IdentifierTypeStateIssuer
PD5346MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100923001262 SC Practitioner - Podiatry 5496640682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palmetto Podiatry Group of Anderson, PAGroup PAC ID 4981741360, 7 clinicians

Practice addresses (Care Compare)

2126BN Hwy 81
Anderson, SC 29621-1532
Phone (864) 231-6395

Merit-based Incentive Payment System (MIPS)

Final score
81.81 of 100Reported as group
Quality
63.62
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27
Removal of skin lesions45
Removal of nail tissue989
Removal or shaving of skin growth157

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18433SCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Podiatry Group of Anderson, PA Podiatrist CurrentSince Jul 31, 2023 Accepting new patients
Palmetto Podiatry Group of Anderson, PA Podiatrist CurrentSince Jul 31, 2023 Accepting new patients

Locations

2126 Highway 81 N
Anderson, SC 29621
Phone (864) 226-2660

105 Ben Casey Dr
Ste 133
Fort Mill, SC 29708
Phone (803) 396-8670

430 Herlong Ave S
Ste 105
Rock Hill, SC 29732
Phone (803) 327-2217

Interoperability endpoints

  • Direct secure messaging: catherinepaukovitz@apcp-sc.direct.office.nextgen.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1962463489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297160337",
            "telephone_number": "803-327-2217",
            "fax_number": "803-327-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S HERLONG AVE",
            "address_2": "SUITE 105",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329446",
            "telephone_number": "803-327-2217",
            "fax_number": "803-327-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUKOVITZ",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PD5346",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.