DAVID LEE DUTRA DPM NPI 1700989118

NPI Details

David Lee Dutra, DPM is a podiatrist in Jackson, CA. The provider is 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. David Lee Dutra, DPM NPI is 1700989118. 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:

613 NEW YORK RANCH RD
JACKSON, CA
ZIP 95642-328
Phone: (209) 223-3030
Fax: (209) 223-5864

The NPI 1700989118 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)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
• Destruction of skin growth, 1-14 growths (HCPCS:17110)
• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
• Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
• Aspiration and/or injection of fluid from small joint (HCPCS:20600)
• Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
• Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
• Permanent removal fingernail or toenail (HCPCS:11750)

The enumeration date for this NPI number is 9/7/2006 and was last updated on 11/23/2011.

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:

Other Identifiers

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