JITTIMA JIRASETPATANA D.P.M.
NPI 1114021789
Podiatrist in Glendale, CA

Active since September 12, 2006PECOS Enrolled
75/100
CMS Quality Rating
1510 S CENTRAL AVE, SUITE 120, GLENDALE, CA 91204(818) 242-3668(818) 242-2425 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jittima Jirasetpatana D.p.m. NPPES

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

JITTIMA JIRASETPATANA D.P.M. (NPI 1114021789) is an individual podiatrist in Glendale, California, licensed in California (E4442) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2000).

NPPES Registry Identity

NPI1114021789
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameJITTIMA JIRASETPATANACredential: D.P.M.
Location Address1510 S CENTRAL AVE, SUITE 120Glendale, CA 91204-2577
Mailing Address1510 S Central Ave Ste 120Glendale, CA 91204-2576 · (818) 242-3668 · Fax (818) 242-2425
Fax(818) 242-2425
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2000
Enumeration DateSeptember 12, 2006
Last NPPES UpdateMay 9, 2024
NPPES CertifiedMay 9, 2024
NPI 1114021789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License Licensed in CA · E4442
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1510 S CENTRAL AVE, Glendale, CA 91204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jittima Jirasetpatana D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668462243
PECOS Enrollment IDI20040517000876
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 21

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.
1,194 services361 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
840 services354 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
756 services377 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.
669 services371 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
521 services243 patients
Removal of inflamed or infected skin, up to 10% of body surface 11000
This procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.
499 services281 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
97%128 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
98%128 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
92%253 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
90%135 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
74%35 patients3/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%253 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
12%134 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
12%234 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Specialist
1510 S CENTRAL AVE, #600
GLENDALE, CA 91204
Internal Medicine (Nephrology)
1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204
Internal Medicine (Cardiovascular Disease)
1510 S CENTRAL AVE, SUITE 650
GLENDALE, CA 91204
Internal Medicine (Nephrology)
1510 S CENTRAL AVE, SUITE 210
GLENDALE, CA 91204
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1510 S CENTRAL AVE, SUITE 530
GLENDALE, CA 91204
Specialist
1510 S CENTRAL AVE, SUITE 100
GLENDALE, CA 91204
Family Medicine
1510 S CENTRAL AVE, SUITE 130
GLENDALE, CA 91204
Orthopaedic Surgery
1510 S CENTRAL AVE, SUITE 500
GLENDALE, CA 91204

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 Jittima Jirasetpatana's NPI number?

The NPI number for Jittima Jirasetpatana is 1114021789. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Jittima Jirasetpatana located?

Jittima Jirasetpatana practices at 1510 S Central Ave Suite 120, Glendale, CA 91204. The listed phone number is (818) 242-3668.

What is Jittima Jirasetpatana's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Jittima Jirasetpatana enrolled in Medicare?

Yes. Jittima Jirasetpatana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jittima Jirasetpatana was last updated on May 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.