DR. PRESTON JOHN PANICCO DPM NPI 1467803064

NPI Information

  • NPI: 1467803064
  • Provider Name: DR. PRESTON JOHN PANICCO, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14615 SAN PEDRO AVE STE 160
    SAN ANTONIO, TX
    ZIP 78232
  • Phone: (210) 899-1026

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NPI Details

DR. Preston John Panicco, DPM is a foot and ankle surgery podiatrist in San Antonio, TX with 10 years of experience. DR. Preston John Panicco, DPM NPI is 1467803064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14615 SAN PEDRO AVE STE 160
SAN ANTONIO, TX
ZIP 78232-364
Phone: (210) 899-1026
Fax: (210) 490-1878

The NPI 1467803064 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Injection into tendon or ligament (HCPCS:20550)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 6/24/2016 and was last updated on 9/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery59.000613OHIONo
2213ES0103XPodiatristFoot & Ankle Surgery2045NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111467803064MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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