MICKEY DWIGHT STAPP D.P.M.
NPI 1023114238
Podiatrist - Foot & Ankle Surgery in Thomson, GA

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
150 MAIN ST, THOMSON, GA 30824(762) 994-0904(762) 994-0906 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2019, Jun 17, 2019 (2 updates tracked since 2019).

About Mickey Dwight Stapp D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKEY DWIGHT STAPP D.P.M. (NPI 1023114238) is an individual foot & ankle surgery provider in Thomson, Georgia, licensed in Georgia (POD000728) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Piedmont Augusta Hospital, and is a graduate of Barry University School Of Podiatric Medicine (1992).

NPPES Registry Identity

NPI1023114238
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameMICKEY DWIGHT STAPPCredential: D.P.M.
Location Address150 MAIN STThomson, GA 30824-2662
Mailing Address150 Main StThomson, GA 30824-2662 · (762) 994-0904 · Fax (762) 994-0906
Fax(762) 994-0906
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 1992
Enumeration DateSeptember 15, 2006
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
NPI 1023114238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in GA · POD000728
150 MAIN ST, Thomson, GA 30824

Other Identifiers 10

OtherGDP728SC · South Carolina Medicaid
Other2700036GA · United Healthcare
Medicaid000660635HGA
Other555655GA · Bcbs Of Georgia
MedicaidGPD728SC
Medicaid000660635RGA
Medicaid000660635JGA
Other575733GA · Aetna Hmo
Other480032189GA · Railroad Medicare
Other5106049GA · Aetna Ppo

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mickey Dwight Stapp D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951202621
PECOS Enrollment IDI20040323000185
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
713 services451 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
252 services49 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
181 services93 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
173 services89 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
165 services127 patients
X-ray of foot, 2 views 73620
An X-ray of the foot, 2 views, is a quick, painless test that produces images of the bones and structures inside your foot. Two different angles are used to provide a comprehensive view. This helps doctors diagnose fractures, infections, or other abnormalities.
153 services76 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Augusta Hospital

Acute Care Hospitals · Augusta, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110028
Location1350 Walton WayAugusta, GA 30901 · Richmond County
Emergency services Birthing friendly

University Mcduffie County Regional Medical Center

Acute Care Hospitals · Thomson, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110111
Location2460 Washington RoadThomson, GA 30824 · Mc Duffie County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier20 claims40 services$58.47 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier14 claims75 services$36.63 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L4360
DME-Orthotic Devices · category DF003N
1 supplier19 claims19 services$229.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
150 MAIN ST
THOMSON, GA 30824
Clinic/Center (Federally Qualified Health Center (FQHC))
150 MAIN ST
THOMSON, GA 30824
Podiatrist (Foot & Ankle Surgery)
150 MAIN ST
THOMSON, GA 30824

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mickey Stapp's NPI number?

The NPI number for Mickey Stapp is 1023114238. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Mickey Stapp located?

Mickey Stapp practices at 150 Main St, Thomson, GA 30824. The listed phone number is (762) 994-0904.

What is Mickey Stapp's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mickey Stapp enrolled in Medicare?

Yes. Mickey Stapp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mickey Stapp accept?

Health plans from Alliant Health Plans, Inc. list Mickey Stapp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mickey Stapp affiliated with any hospitals?

According to CMS data, Mickey Stapp is affiliated with Piedmont Augusta Hospital and University Mcduffie County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mickey Stapp was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.