Jay Mickenberg, DPM
NPI 1336149962 · Podiatrist · Pasadena, MD
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jay Mickenberg, DPM is a Podiatrist provider in Pasadena, MD (NPI 1336149962).
Provider details
- NPI number
- 1336149962
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1053 (MD)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,213 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Trimming of Fingernails Or Toenails11719 | 335 | $13 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 311 | $133 |
| Removal of Fingernails Or Toenails, 1-5 Nails11720 | 259 | $35 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 105 | $94 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 64 | $115 |
| Removal of Noncancer Thickened Skin Growth, 2-4 Growths11056 | 53 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-26
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Frequently asked questions
- What is Jay Mickenberg's NPI number?
- Jay Mickenberg's National Provider Identifier (NPI) is 1336149962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Mickenberg's specialty?
- Jay Mickenberg is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Jay Mickenberg located?
- Jay Mickenberg's practice location on file with NPPES is 8094 Edwin Raynor Blvd, Pasadena, MD 21122-6834.
- What is Jay Mickenberg's phone number?
- The practice phone number listed in the NPPES registry for Jay Mickenberg is (410) 255-0040.
- Does Jay Mickenberg accept Medicare?
- Jay Mickenberg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jay Mickenberg's NPI active?
- Yes — Jay Mickenberg's NPI (1336149962) is active in the NPPES registry as of the last update on 2024-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.