Benjamin Woerner Carelock, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Fruita, CO
NPI 1992949481 · NPPES record last updated Apr 3, 2024
Key facts
- NPI
- 1992949481
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- POD.0000730 (CO)
- Practice address
- 281 N Plum St
Fruita, CO 81521-2100 - Phone
- (970) 858-2530
- Fax
- (970) 858-1196
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairbanks Foot and Ankle Inc
Practice addresses (Care Compare)
1405 Kellum St
Suite 200
Fairbanks, AK 99701-4189
Phone (907) 451-9202
Hospital & facility affiliations
- Family Health West Hospital
- Fairbanks Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 20 |
| Removal or shaving of skin growth | 11 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, AK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140130000459 | TX | Practitioner - Podiatry | 0840434270 | Reassigns benefits to 1 organization |
| I20250822002760 | AK | Practitioner - Podiatry | 0840434270 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Colorado Ute Service Unit | Current |
Accepting new patients | |
| Fairbanks Foot & Ankle Inc. | Foot & Ankle Surgery | Current |
Accepting new patients |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Locations
1405 Kellum St
Ste 200
Fairbanks, AK 99701
Phone (907) 451-9202
Interoperability endpoints
- ben.carelock.1@16660.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD.0000730 | CO | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 8606148-0501 | UT |
Addresses
Primary practice location
281 N Plum St
Fruita, CO 81521-2100
Mailing address
PO Box 130
Fruita, CO 81521-0130
Phone (970) 858-2186
Other practice location 1
249 N Plum St
Fruita, CO 81521-2100
Phone (970) 858-2586
Other practice location 2
300 W Ottley Ave
Fruita, CO 81521-2118
Phone (970) 858-3900
Other names
- Benjamin W. Carelock
Other providers in Fruita, CO
- Lynsay Bush
- By Your Side Home Care
- Melissa A. Campbell
- Eva Marie Cappiello
- Richard Allan Cappiello
- Carolina Carvelli
- Chay Jay LLC
- Sandra Christenson
- Kyle Robert Christopherson
- Jasmine Cipperly
All providers in Fruita, CO · Foot & Ankle Surgery Podiatrist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.