Edison Kent Picklesimer (NPI# 1144205493, PAC ID# 4981594348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1144205493 |
| PAC ID by PECOS | 4981594348 |
| Professional Enrollment ID | I20081017000147 |
| Full Name | Edison Kent Picklesimer |
| Organization Legal Name | EASTOVER FOOT AND ANKLE PA |
| Address |
428 N Trade St Suite 100 Matthews NC 28105-1729 |
| Phone Number | 7048414000 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 0345147187 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2607 E 7th St, Suite 100, Charlotte, NC 28204-4308 | 7043334014 | EASTOVER FOOT AND ANKLE PA |
| 428 N Trade St, Suite 100, Matthews, NC 28105-1729 | 7048414000 | EASTOVER FOOT AND ANKLE PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 90% | |
| MIPS_EC_047_overall | Care Plan | 90% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Organization Legal Name | EASTOVER FOOT AND ANKLE PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Williams | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Ronald V Futerman | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Christopher Fuesy | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Street Address |
428 N TRADE ST SUITE 100 |
| City | MATTHEWS |
| State | NC |
| Zip | 28105-1729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Williams | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Ronald V Futerman | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Christopher Fuesy | Podiatry | Eastover Foot and Ankle Pa | 428 N Trade St, Suite 100, Matthews, NC 28105-1729 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara G James | Optometry | Dr. Andrew G Hahn and Associates of Optometry Pa | 1419 A Matthews Minthill Rd, Matthews, NC 28105 |
| Geralyn M Campi | Internal Medicine | 2030 Windsor Run Ln, Matthews, NC 28105-0054 | |
| William J Conner | Family Medicine | 211 W Matthews St, Suite 102, Matthews, NC 28105-1310 | |
| Alicia M Pielow Krol | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Julio E De Pena Fernandez | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Beth Christina Butler | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Win Pa Lin | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Nicole Marie Kosakowski | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Ryan L Moorhouse | Physician Assistant | Carolinas Physicians Network Inc | 332 N Trade St, Matthews, NC 28105-1728 |
| Bailey Y. Chang | Internal Medicine | Mecklenburg Medical Group | 332 N Trade St, Suite 2000, Matthews, NC 28105-1728 |
| Find all physicians in zip 28105 | |||
| City | MATTHEWS |
| Zip Code | 28105 |
| Specialty | PODIATRY |
| City + Specialty | MATTHEWS + PODIATRY |
Please comment or provide details below to improve the information on Edison Kent Picklesimer.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.