Individual provider Active NPI

Daniel Evering Jr., D.O.

  • Sports Medicine (Family Medicine) Physician
  • West Chester, PA
National Provider Identifier
1174937395
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
OS018891 Issued in PA
Practice address
915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269
Phone
(610) 692-6280
NPI assigned
Jun 16, 2014
Last updated
Feb 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 25MB10327900 NJ
Sports Medicine (Family Medicine) Physician 207QS0010X OS018891 PA Primary

Addresses

Primary practice location

915 Old Fern Hill Rd Ste 1
West Chester, PA 19380-4269

Mailing address

4 Eves Dr Ste A100
Marlton, NJ 08053-3126
Phone (609) 267-9400

Other practice location 1

176 S New Middletown Rd Ste 100
Media, PA 19063-5255
Phone (610) 328-8830

Other practice location 2

994 W Sherman Ave
Vineland, NJ 08360
Phone (609) 267-9400

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
I20180227001090 PA Practitioner - Sports MedicinePractitioner - Family Practice 9032470497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1396 Wilmington Pike
West Chester, PA 19382-8218
Phone (610) 399-1138

2004 Sproul Rd
FL 1
Broomall, PA 19008-3511
Phone (610) 353-0800

400 McFarlan Rd
Suite 100
Kennett Square, PA 19348-2477
Phone (610) 925-4901

470 John Young Way
Suite 100
Exton, PA 19341-2557
Phone (610) 363-6589

915 Old Fern Hill Rd
Suite 1
West Chester, PA 19380-4269
Phone (610) 692-6280

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedic and Sports Medicine Associates, LTD Sports Medicine CurrentSince Oct 1, 2022 Accepting new patients
Premier Orthopaedic and Sports Medicine Associates LTD CurrentSince Oct 1, 2022 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients

Locations

2004 Sproul Rd
Fl 1
Broomall, PA 19008
Phone (610) 353-0800

400 McFarlan Rd
Ste 100
Kennett Square, PA 19348
Phone (610) 444-1344

915 Old Fern Hill Rd
Ste 1
West Chester, PA 19380
Phone (610) 314-4314

915 Old Fern Hill Rd
Ste 1BA
West Chester, PA 19380
Phone (610) 692-6280

455 Woodview Rd
Ste 205
West Grove, PA 19390
Phone (484) 748-6148

Interoperability endpoints

  • Direct secure messaging: daniel.evering.1@22724.direct.athenahealth.com
  • Direct secure messaging: danielevering@po.allscriptsdirect.net

Organizations & group practices 3

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1174937395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EVES DR STE A100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533126",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLD FERN HILL RD STE 1",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804269",
            "telephone_number": "610-692-6280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 S New Middletown Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635255",
            "country_code": "US",
            "telephone_number": "610-328-8830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "08360",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERING",
        "first_name": "DANIEL",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-16",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NJ",
            "license": "25MB10327900",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS018891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

Verify at the official NPI Registry.