Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1497753693 Deactivated / Inactive NPI Male Practitioner

Dr. Steven B Axt , DPM

Podiatrist • Patchogue, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Steven Axt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 12, 2005
NPI Deactivation Date March 16, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Steven Axt, DPM was a registered Podiatrist practicing in Patchogue, NY. Throughout an active medical career spanning 1 years, Dr. Axt provided care at the practice location at 4 PHYLLIS DR until profile deactivation on 2006-03-16.

Historical Medicare Part B clinical services included established patient custodial care facility, group care, or assisted living visit, removal of fingernails or toenails, removal of fingernails or toenails, 1-5 nails. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4 Phyllis Dr
Suite A3

Patchogue, NY 117722900

Telephone 6314753030
Fax 6314753036
Associated Practice Facility / Clinic
🏢 Northport Vamc Facility NPI 1700820438

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Patchogue, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 41.0 Yrs
State Avg: 32.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Patchogue, NY (1366 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes
180 178 $130.00 $58.45
11721 Removal of fingernails or toenails, 6 or more nails
118 116 $98.00 $43.70
11720 Removal of fingernails or toenails, 1-5 nails
64 64 $43.20 $31.28
11719 Trimming of fingernails or toenails
53 53 $67.32 $12.93
G0127 Trimming of dystrophic nails, any number
18 18 $50.00 $21.48
11055 Removal of single thickened skin growth
17 16 $110.00 $60.19
99324 New patient assisted living visit, typically 20 minutes
12 12 $168.33 $52.36
11056 Removal of noncancer thickened skin growth, 2-4 growths
11 11 $117.00 $69.98

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License NY N003178

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Railroad
480000381 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Joellen Anderson , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1295869055

Nurse Practitioner

NPI 1407049901

Doctor of Medicine (M.D.)

Karen Gross , LMHC, CRC

Counselor - Mental Health

NPI 1407363765

Licensed Mental Health Counselor, Certified Rehabilitation Counselor

NPI 1528470747

Doctor of Medicine (M.D.)

Dr. Ronald Taddeo , MD, PC

Psychiatry & Neurology - Psychiatry

NPI 1861522245

Doctor of Medicine (M.D.), PC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address November 05, 2018

Registered at 173 MINEOLA BLVD, STE 201, MINEOLA, NY 115012530 (Tel: 6314753030)

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Updated Practice Location February 20, 2008

Registered at 4 PHYLLIS DR, SUITE A3, PATCHOGUE, NY 117722900 (Tel: 6314753030)

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Updated Business Mailing Address February 20, 2008

Registered at 4 PHYLLIS DR, SUITE A3, PATCHOGUE, NY 117722900 (Tel: 6314753030)

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Provider Name / Credentials Updated February 20, 2008

Recorded as STEVEN AXT, D.P.M.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2008

Podiatrist (License #N003178 in NY)

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NPI Profile Reactivated March 20, 2006

Record officially reactivated for active practice on March 20, 2006

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NPI Profile Deactivated March 16, 2006

Record deactivated on March 16, 2006

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Initial NPI Registration & Enumeration July 12, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497753693
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2005
Last Update: November 05, 2018
Deactivation Date: March 16, 2006
Sole Proprietor: Yes

Mailing Address

173 Mineola Blvd, Ste 201

Mineola, NY 115012530

Phone: 6314753030

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.