Individual provider Active NPI

Michael John McCourt, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Eugene, OR
National Provider Identifier
1982924593
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP152629 Issued in OR
Practice address
1680 Chambers St
Suite 201
Eugene, OR 97402-3655
Phone
(541) 683-3351
Fax
(541) 683-6440
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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 EL1768 CA
Foot & Ankle Surgery Podiatrist 213ES0103X DP152629 OR Primary

Addresses

Primary practice location

1680 Chambers St
Suite 201
Eugene, OR 97402-3655

Mailing address

1680 Chambers St
Suite 201
Eugene, OR 97402-3655
Phone (541) 683-3351

Other names 1

  • Eugene Foot And Ankle Health Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110922000708 OR Practitioner - Podiatry 1254501224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene Foot and Ankle Center LLCGroup PAC ID 3971734526, 2 clinicians

Practice addresses (Care Compare)

1680 Chambers St
Suite 201
Eugene, OR 97402-3655
Phone (541) 683-3351

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue50
Removal or shaving of skin growth18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
EL1768CAMDFoot & Ankle Surgery Podiatrist
DP152629ORMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: mmccourt@yourcarecommunity.org

Organizations & group practices 1

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.

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1982924593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CHAMBERS ST",
            "address_2": "SUITE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023655",
            "telephone_number": "541-683-3351",
            "fax_number": "541-683-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 CHAMBERS ST",
            "address_2": "SUITE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023655",
            "telephone_number": "541-683-3351",
            "fax_number": "541-683-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOURT",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "EL1768",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP152629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "AND ANKLE HEALTH CENTER",
            "middle_name": "FOOT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.