Jay Marc Mickenberg, DPM
NPI 1336149962ActiveIndividual· Podiatrist· Pasadena, MD
Podiatrist (DPM) in Pasadena, Maryland, trained at Temple University School of Podiatric Medicine (class of 1989). Medicare paid $61,018 for services to 275 patients in 2024.
Overview
| NPI | 1336149962 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | Yes |
| NPI issued | Jul 26, 2005 |
| Last updated in NPPES | Feb 21, 2024 |
| Certified by provider | Feb 21, 2024 |
| Reactivated | Mar 24, 2006 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | 1053 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (MD) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 275 |
|---|---|
| Services billed | 1,299 across 25 procedure codes |
| Paid by Medicare | $61,018 |
Education and affiliations
| Medical school | Temple University School of Podiatric Medicine |
|---|---|
| Graduation year | 1989 |
| Medicare specialty | Podiatry |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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