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DR. DALE HERBERT VANCIL D. P, M.
NPI 1205856713
Podiatrist - Foot Surgery in Lino Lakes, MN

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
58.96/100
CMS Quality Rating
3485 WILLOW LAKE BLVD., SUITE 300, LINO LAKES, MN 55110(651) 765-8200(651) 765-8201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dale Herbert Vancil D. P, M. NPPES

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

DR. DALE HERBERT VANCIL D. P, M. (NPI 1205856713) is an individual foot surgery provider in Lino Lakes, Minnesota, licensed in Minnesota (338) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (1984).

NPPES Registry Identity

NPI1205856713
Entity TypeIndividualMale
Primary Taxonomy213ES0131X
Provider Legal NameDR. DALE HERBERT VANCILCredential: D. P, M.
Location Address3485 WILLOW LAKE BLVD., SUITE 300Lino Lakes, MN 55110-5152
Mailing Address3485 Willow Lake Blvd, Suite 300Saint Paul, MN 55110-5152 · (651) 765-8200 · Fax (651) 765-8201
Phone(651) 765-8200
Fax(651) 765-8201
Sole ProprietorYes
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 1984
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205856713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in MN · 338
3485 WILLOW LAKE BLVD., Lino Lakes, MN 55110
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Dale Herbert Vancil D.p.m.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dale Herbert Vancil 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 ID5395649578
PECOS Enrollment IDI20031120000214
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dale Vancil reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Active Feet, Foot & Ankle Health Center
4.4 mi
Medical Specialty
10995 CLUB WEST PKWY STE 300
Blaine, MN 55449
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group
NPI 1861825093 (612) 788-8778
In House Senior Services, LLC
20 mi
Primary Podiatric Medicine
6625 LYNDALE AVE S STE 105
Richfield, MN 55423
  • Reassigned Medicare billing, Minnesota enrollment
  • 28 clinicians in this Medicare group
NPI 1083962294 (612) 788-8778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
215 services102 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
110 services55 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
33 services33 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
28 services17 patients
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.
13 services12 patients

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.

58.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality35.12
Promoting Interoperability72
Improvement Activities40

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 Dale Vancil's NPI number?

The NPI number for Dale Vancil is 1205856713. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Dr. Dale Herbert Vancil D.P.M..

Where is Dale Vancil located?

Dale Vancil practices at 3485 Willow Lake Blvd. Suite 300, Lino Lakes, MN 55110. The listed phone number is (651) 765-8200.

What is Dale Vancil's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Dale Vancil enrolled in Medicare?

Yes. Dale Vancil 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.

Which organizations bill Medicare for Dale Vancil's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dale Vancil reassigns Medicare benefits to 2 organizations: Active Feet, Foot & Ankle Health Center (Blaine, MN) and In House Senior Services, LLC (Richfield, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dale Vancil's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dale Vancil was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.