Derek Allen Ewell, D.O.

Key facts

NPI

1114283124

Entity type

Individual (NPI type 1)

Primary specialty

Obstetrics & Gynecology Physician 207V00000X

License

10577A (WY)

Practice address

1400 S Coulter St
Ttuhsc
Amarillo, TX 79106-1786

Phone

(806) 354-5417

Fax

(806) 351-3787

NPI assigned

Apr 3, 2012

Sex

Male

Sole proprietor

No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ivinson Memorial Hospital Rural Health Clinic/Center · Laramie, WY · NPI 1033628599
  Medicare reassignment Care Compare group NPD WY
• Ivinson Memorial Hospital Rural Acute Care Hospital · Laramie, WY · NPI 1366626269
  Care Compare group NPD
• Ivinson Memorial Hospital Rural Acute Care Hospital · Laramie, WY · NPI 1336289552
  Care Compare group NPD (past)
• Ivinson Memorial Hospital Rural Acute Care Hospital · Laramie, WY · NPI 1912181827
  Care Compare group
• Ivinson Memorial Hospital End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Laramie, WY · NPI 1952585861
  Care Compare group

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ivinson Memorial Hospital Rural Acute Care Hospital · Laramie, WY · NPI 1336289552
  Care Compare affiliation Hospital
• Memorial Hospital of Carbon County Critical Access Hospital · Rawlins, WY · NPI 1710298757
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivinson Memorial Hospital (61 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ivinson Memorial Hospital Hospital · Laramie, WY · CCN 530025
• Memorial Hospital of Carbon County Hospital · Rawlins, WY · CCN 531316

Merit-based Incentive Payment System (MIPS)

Final score

85.68 of 100 (group)

Quality

75.73

Promoting interoperability

100

Improvement activities

40

Cost

76.55

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 16, 2016.

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1114283124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 HARNEY ST",
            "address_2": "STE 100",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820720001",
            "telephone_number": "806-354-5417",
            "fax_number": "806-351-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S COULTER ST",
            "address_2": "TTUHSC",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061786",
            "telephone_number": "806-354-5417",
            "fax_number": "806-351-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWELL",
        "first_name": "DEREK",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "10577A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sheree Annette Evers, PTA
• Rylee Jo Ewing, PHARMD
• Exceptional Amarillo N Coulter LLC
• Exceptional Amarillo S Coulter LLC
• Exceptional H C Amarillo LLC
• Exceptional Health Care Amarillo LLC

All providers in Amarillo, TX · Obstetrics & Gynecology Physician in Texas