Doctor profile · Federal record

Dr. Jay Mickenberg, DPM

Podiatrist (CMS: Podiatry) · Pasadena, MD

  • NPI 1336149962
  • Accepts Medicare
  • MIPS 75.0 / 100 · 2023
  • 37 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
8094 Edwin Raynor Blvd, Suite C
Pasadena, MD 211226834
(410) 255-0040
fax (410) 360-4955

Credentials & registration

NPPES · NUCC
NPI registered
July 2005 — 21 yrs on file
Profile last updated
February 21, 2024
Year of graduation
1989 — 37 yrs since
Specialty taxonomy
213E00000X — NUCC code
State license (1)
Maryland #1053
Medicaid
MD #062308301

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1336149962. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
1,303
Distinct HCPCS
9
Medicare allowed
$88,762
HCPCS Description Services Patients Avg allowed
11719 Trimming of fingernails or toenails 351 130 $13
99214 Established patient office or other outpatient visit, 30-39 minutes 324 124 $134
11720 Removal of fingernails or toenails, 1-5 nails 252 100 $35
99213 Established patient office or other outpatient visit, 20-29 minutes 105 42 $95
99203 New patient office or other outpatient visit, 30-44 minutes 73 73 $117
11056 Removal of noncancer thickened skin growth, 2-4 growths 59 19 $89
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 55 25 $46
11055 Removal of noncancer thickened skin growth, 1 growth 51 20 $78
11721 Removal of fingernails or toenails, 6 or more nails 33 14 $47

In context: peer comparison

Among 5 peers in Pasadena Podiatrist, average services per provider: 146. This provider delivers 8.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Jay Mickenberg's medical specialty?
Dr. Jay Mickenberg practices Podiatrist in Pasadena, MD.
Where does Dr. Jay Mickenberg practice?
Dr. Jay Mickenberg practices at 8094 Edwin Raynor Blvd, Pasadena, MD 211226834. Office phone: 4102550040.
What is Dr. Jay Mickenberg's NPI?
Dr. Jay Mickenberg's National Provider Identifier (NPI) is 1336149962, issued by NPPES.
Does Dr. Jay Mickenberg accept Medicare assignment?
Yes. Dr. Jay Mickenberg accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jay Mickenberg commonly perform?
Top Medicare-reported procedures in 2023: Trimming of fingernails or toenails (HCPCS 11719); Established patient office or other outpatient visit (HCPCS 99214); Removal of fingernails or toenails, 1-5 nails (HCPCS 11720). Source: CMS Medicare Physician & Other Practitioners file.