JOHN RANDALL NORTHRUP D.P.M.
NPI 1891178406
Podiatrist - Foot & Ankle Surgery in St Augustine, FL

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1690 US HIGHWAY 1 S STE C, ST AUGUSTINE, FL 32084(904) 436-8001(904) 377-6776 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 31, 2023, Apr 24, 2020, Aug 24, 2018 and 1 more (4 updates tracked since 2018).

About John Randall Northrup D.p.m. NPPES

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

JOHN RANDALL NORTHRUP D.P.M. (NPI 1891178406) is an individual foot & ankle surgery provider in St Augustine, Florida, licensed in Florida (PO3952) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Barry University School Of Podiatric Medicine (2015).

NPPES Registry Identity

NPI1891178406
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJOHN RANDALL NORTHRUPCredential: D.P.M.
Location Address1690 US HIGHWAY 1 S STE CSt Augustine, FL 32084-6024
Mailing Address1690 Us Highway 1 S Ste CSt Augustine, FL 32084-6024 · (904) 436-8001 · Fax (904) 376-7761
Fax(904) 377-6776
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1891178406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in FL · PO3952
Also ListedPodiatristTaxonomy 213E00000X · License PO3952 (FL)
1690 US HIGHWAY 1 S STE C, St Augustine, FL 32084

Other Identifiers 1

Medicaid101521600FL

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

John Randall Northrup 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 ID7113266636
PECOS Enrollment IDI20190228000511
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 18

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.
1,050 services336 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.
577 services195 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.
470 services163 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.
349 services243 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
223 services145 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
169 services169 patients

Hospital Affiliations CMS Care Compare 5

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Florida Hospital Flagler

Acute Care Hospitals · Palm Coast, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100118
Location60 Memorial Medical PkwyPalm Coast, FL 32164 · Flagler County
Emergency services

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Adventhealth Palm Coast Parkway

Acute Care Hospitals · Palm Coast, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100363
Location1 Adventhealth WayPalm Coast, FL 32137 · Flagler 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.

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

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 supplier21 claims42 services$61.09 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, 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 A5514
DME-Orthotic Devices · category DF000N
1 supplier20 claims111 services$37.18 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier21 claims21 services$220.88 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 2

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

Podiatrist (Foot Surgery)
1690 US HIGHWAY 1 S STE C
ST AUGUSTINE, FL 32084
Podiatrist (Foot & Ankle Surgery)
1690 US HIGHWAY 1 S STE C
SAINT AUGUSTINE, FL 32084

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 John Northrup's NPI number?

The NPI number for John Northrup is 1891178406. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is John Northrup located?

John Northrup practices at 1690 Us Highway 1 S Ste C, St Augustine, FL 32084. The listed phone number is (904) 436-8001.

What is John Northrup's specialty?

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

Is John Northrup enrolled in Medicare?

Yes. John Northrup 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 John Northrup accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list John Northrup 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 John Northrup affiliated with any hospitals?

According to CMS data, John Northrup is affiliated with Flagler Hospital, Florida Hospital Flagler, Hca Florida Putnam Hospital, Ascension St Vincent's St Johns County and Adventhealth Palm Coast Parkway.

When was this NPI record last updated?

The NPPES record for John Northrup was last updated on October 31, 2023. 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.