Edison Kent Picklesimer
EASTOVER FOOT AND ANKLE PA


Address: 428 N Trade St, Suite 100, Matthews, NC 28105-1729
Phone: 7048414000

Edison Kent Picklesimer (NPI# 1144205493, PAC ID# 4981594348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

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

Other Locations

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

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

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 Information

Organization Legal Name EASTOVER FOOT AND ANKLE PA
Physicians 4

Physicians with the same organization

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

Office Location

Street Address 428 N TRADE ST
SUITE 100
City MATTHEWS
State NC
Zip 28105-1729

Physicians in the same location

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

Physicians in the same zip code

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

Competitor

Search similar physicians

City MATTHEWS
Zip Code 28105
Specialty PODIATRY
City + Specialty MATTHEWS + PODIATRY

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Dataset Information

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.

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