Individual provider Active NPI

David Eugene Wood, D.O.

  • Otolaryngology Physician
  • Hermitage, PA
National Provider Identifier
1154320133
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
OS009031L Issued in PA
Practice address
1623 Dutch LN
Hermitage, PA 16148-3010
Phone
(724) 962-3210
Fax
(724) 962-9034
NPI assigned
Jul 20, 2005
Reactivated
Mar 28, 2006
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OS009031L PA Primary

Addresses

Primary practice location

1623 Dutch LN
Hermitage, PA 16148-3010

Mailing address

1623 Dutch LN
Hermitage, PA 16148-3010
Phone (724) 962-3210

Other identifiers 4

IdentifierTypeStateIssuer
0015759250007MedicaidPA
852315OtherPAHIGHMARK BS PA
62580OtherPAMEDPLUS
1035584OtherPAGATEWAY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.e.wood@upmcdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000973 PA Practitioner - Otolaryngology 1850371147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

110 N Main St
Greenville, PA 16125-1726

110 N Main St FL
Greenville, PA 16125-1726

1623 Dutch LN
Hermitage, PA 16148-3010
Phone (724) 962-3210

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS009031LPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Upmc Community Medcine Inc CurrentSince Sep 10, 2011 Accepting new patients
Upmc Community Medicine Inc Otolaryngology CurrentSince Sep 10, 2011 Accepting new patients
University of Pittsburgh Physicians Otolaryngology CurrentSince Oct 1, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Oct 1, 2017 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients

Locations

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1623 Dutch Ln
Hermitage, PA 16148
Phone (724) 962-3210

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 300
Pittsburgh, PA 15213
Phone (412) 647-2100

Organizations & group practices 6

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

Hospital & facility affiliations 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1154320133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 DUTCH LN",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483010",
            "telephone_number": "724-962-3210",
            "fax_number": "724-962-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 DUTCH LN",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161483010",
            "telephone_number": "724-962-3210",
            "fax_number": "724-962-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DAVID",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "OS009031L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015759250007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK  BS           PA",
            "identifier": "852315",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDPLUS",
            "identifier": "62580",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1035584",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.e.wood@upmcdirect.com",
            "affiliation": "N",
            "address_1": "1623 Dutch Ln",
            "city": "Hermitage",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161483010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hermitage, PA

Sources for this page

Verify at the official NPI Registry.