Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073584686 Individual Practitioner Male Practitioner

Dr. James Edwin Prommersberger , DPM

Podiatrist • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Dr. James Prommersberger, DPM is a registered healthcare professional specializing in Podiatrist in Boardman, OH. Practice services are available at 940 WINDHAM CT under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of fingernails or toenails, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

940 Windham Ct
Suite #3

Boardman, OH 445125060

Telephone 3307263348
Fax 3307263856
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Boardman, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 37.7 Yrs
State Avg: 27.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Boardman, OH (595 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
20.7% 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
99213 Established patient office or other outpatient visit, typically 15 minutes
46 25 $85.00 $71.35
11721 Removal of fingernails or toenails, 6 or more nails
16 13 $60.00 $43.61

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36-00-2619

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.

Podiatrist - Foot & Ankle Surgery

NUCC Taxonomy Code: 213ES0103X

State License OH 36-00-2619

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0774194 (OH)
Commercial Insurance / Payer ID Anthem
000000177949 (OH)
Commercial Insurance / Payer ID Medicare Travelers
P00199462 (OH)
Commercial Insurance / Payer ID Blue Shield Mountain State
000601363 (WV)
Commercial Insurance / Payer ID Medicaid Wv
0099572000 (WV)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Kathryn Polito , RD

Dietitian, Registered

NPI 1255194510

Registered Dietitian

Isabella Gajdos

Dietitian, Registered

NPI 1285477695
Dr. Richard Hammond , PhD, LPCC

Counselor - Professional

NPI 1528058948

Doctor of Philosophy (Ph.D.), Licensed Professional Clinical Counselor

NPI 1619048543

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2008

Registered at 940 WINDHAM CT, SUITE #3, BOARDMAN, OH 445125060 (Tel: 3307263348)

📍
Updated Business Mailing Address June 02, 2008

Registered at 940 WINDHAM CT, SUITE #3, BOARDMAN, OH 445125060 (Tel: 3307263348)

👤
Provider Name / Credentials Updated June 02, 2008

Recorded as JAMES PROMMERSBERGER, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2008

Podiatrist (License #36-00-2619 in OH)

🟢
Initial NPI Registration & Enumeration January 31, 2006

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: 1073584686
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2006
Last Update: June 02, 2008
Sole Proprietor: Yes

Mailing Address

940 Windham Ct, Suite #3

Boardman, OH 445125060

Phone: 3307263348

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.