DR. GLORIED MARIE EBSWORTH DPM NPI 1649408501

NPI Information

  • NPI: 1649408501
  • Provider Name: DR. GLORIED MARIE EBSWORTH, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5304 S FLORIDA AVE STE 406
    LAKELAND, FL
    ZIP 33813
  • Phone: (863) 738-6601

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NPI Details

DR. Gloried Marie Ebsworth, DPM is a foot and ankle surgery podiatrist in Lakeland, FL with 17 years of experience. DR. Gloried Marie Ebsworth, DPM NPI is 1649408501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2009

The provider's business location address is:

5304 S FLORIDA AVE STE 406
LAKELAND, FL
ZIP 33813-914
Phone: (863) 738-6601
Fax: (863) 937-3002

The NPI 1649408501 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.

  • Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (HCPCS:Q4217)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15271)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)

The enumeration date for this NPI number is 6/30/2009 and was last updated on 2/7/2025.

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 SurgeryPO 3550FLORIDAYes
2213E00000XPodiatristPO 3550FLORIDANo

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
1006315500MEDICAIDFLORIDA

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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