Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508810110 Individual Practitioner Male Practitioner

Dr. Victor Stephen Soderstrom , DPM

Podiatrist • Watertown, WI

Professional Overview & Biography Verified Profile Summary

Dr. Victor Soderstrom, DPM is a registered healthcare professional specializing in Podiatrist in Watertown, WI. Practice services are available at 101 OAKRIDGE CT under active NPI credentials.

Frequently performed procedures and clinical services include removal of fingernails or toenails, established patient outpatient office visit, removal of fingernails or toenails, 1-5 nails. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 Oakridge Ct
Ste A

Watertown, WI 530944150

Telephone 9202619610
Fax 9202619671
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Watertown, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 22.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Watertown, WI (227 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.3% 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
11721 Removal of fingernails or toenails, 6 or more nails
189 148 $75.00 $43.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
40 34 $150.00 $43.23
11720 Removal of fingernails or toenails, 1-5 nails
39 34 $40.00 $31.47
99202 New patient office or other outpatient visit, typically 20 minutes
26 26 $230.00 $72.27
99213 Established patient office or other outpatient visit, typically 15 minutes
18 16 $215.00 $71.53
73630 X-ray of foot, minimum of 3 views
16 15 $125.00 $29.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $300.00 $102.40

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License WI 444025

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

Medicaid State Provider ID
43200300 (WI)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1316500994

Doctor of Podiatric Medicine

NPI 1427001676

Doctor of Podiatric Medicine

NPI 1841244555

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2009

Registered at 101 OAKRIDGE CT, STE A, WATERTOWN, WI 530944150 (Tel: 9202619610)

📍
Updated Business Mailing Address November 12, 2009

Registered at 101 OAKRIDGE CT, STE A, WATERTOWN, WI 530944150 (Tel: 9202619610)

👤
Provider Name / Credentials Updated November 12, 2009

Recorded as VICTOR SODERSTROM, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2009

Podiatrist (License #444025 in WI)

🟢
Initial NPI Registration & Enumeration May 19, 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: 1508810110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: November 12, 2009
Sole Proprietor: No

Mailing Address

101 Oakridge Ct, Ste A

Watertown, WI 530944150

Phone: 9202619610

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.