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BANGOR PODIATRY LLC
NPI 1366491938
Podiatrist - Foot & Ankle Surgery in Bangor, PA

Active since May 09, 2006
129 N 11TH ST, BANGOR, PA 18013(610) 588-6621(610) 588-6307 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bangor Podiatry Llc NPPES

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

BANGOR PODIATRY LLC (NPI 1366491938) is a healthcare organization registered as a foot & ankle surgery in Bangor, Pennsylvania and active in the NPI registry since May 2006. The organization lists Cheralyn Perkins, President, as its authorized official.

NPPES Registry Identity

NPI1366491938
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameBANGOR PODIATRY LLC
Location Address129 N 11TH STBangor, PA 18013-1603
Mailing Address325 Blue Valley DrBangor, PA 18013-1526 · (610) 588-6621 · Fax (610) 588-6307
Phone(610) 588-6621
Fax(610) 588-6307
Organization SubpartNo
Authorized OfficialCheralyn PerkinsPresident · (610) 588-6621
Enumeration DateMay 9, 2006
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1366491938 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 PA · SC004468L
129 N 11TH ST, Bangor, PA 18013
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bangor Podiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Bangor Podiatry LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kathleen Hope, DPM
Podiatry
NPI 1144590563
325 BLUE VALLEY DR
Bangor, PA 18013
(610) 588-6621
✔ PECOS✔ Accepts Medicare0.6 mi
Cheralyn Perkins, DPM
Podiatry
NPI 1053400804
325 BLUE VALLEY DR
Bangor, PA 18013
(610) 588-6621
✔ PECOS✔ Accepts Medicare0.6 mi
Jason Eberly, DPM
Podiatry
NPI 1588657985
325 BLUE VALLEY DR
Bangor, PA 18013
(610) 588-6621
✔ PECOS✔ Accepts Medicare0.6 mi
Edward Hutson, D.P.M.
Podiatry
NPI 1851532402
42 N 3RD ST FIRST FLOOR
Easton, PA 18042
(610) 253-4821
✔ PECOS✔ Accepts Medicare12 mi
Selina Kaminski, DPM
Podiatry
NPI 1811481492
203 FOOTE AVE
Duryea, PA 18642
(570) 457-4560
✔ PECOS✔ Accepts Medicare43 mi
David Scalzo, DPM
Podiatry
NPI 1477508000
203 FOOTE AVE
Duryea, PA 18642
(570) 457-4560
✔ PECOS✔ Accepts Medicare43 mi

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

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 Bangor Podiatry LLC's NPI number?

The NPI number for Bangor Podiatry LLC is 1366491938. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Bangor Podiatry LLC located?

Bangor Podiatry LLC is located at 129 N 11th St, Bangor, PA 18013. The listed phone number is (610) 588-6621.

What is Bangor Podiatry LLC's specialty?

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

Is Bangor Podiatry LLC enrolled in Medicare?

Yes. Bangor Podiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bangor Podiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Podiatry, reassign their Medicare billing to Bangor Podiatry LLC. A 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 the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bangor Podiatry LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Bangor Podiatry LLC 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.

When was this NPI record last updated?

The NPPES record for Bangor Podiatry LLC was last updated on March 26, 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.