Individual provider Active NPI

Jeffrey Dane Stimac, M.D.

  • Orthopaedic Surgery Physician
  • Louisville, KY
National Provider Identifier
1225241060
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME165184 Issued in FL
Practice address
9880 Angies Way
Suite 250
Louisville, KY 40241-2851
Phone
(502) 394-6341
Fax
(502) 394-6340
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 45991 KY
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X ME165184 FL
Orthopaedic Surgery Physician 207X00000X ME165184 FL Primary

Addresses

Primary practice location

9880 Angies Way
Suite 250
Louisville, KY 40241-2851

Mailing address

PO Box 776351
Chicago, IL 60677-6879
Phone (502) 588-9490

Other practice location 1

1285 Creekside Blvd E Unit 102
Naples, FL 34109-0595
Phone (239) 624-1700

Other identifiers 1

IdentifierTypeStateIssuer
7100141660MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jstimac80060@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131021000270 KY Practitioner - Orthopedic Surgery 7618102039 Reassigns benefits to 1 organization
I20241104001192 FL Practitioner - Orthopedic Surgery 7618102039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moorings IncorporatedGroup PAC ID 4688832066, shared by 2 NPIs, 116 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

120 Moorings Park Dr
Naples, FL 34105-2122

1285 Creekside Blvd E
Unit 102
Naples, FL 34109-0595
Phone (239) 624-8250

130 Moorings Park Dr
Naples, FL 34105-2122

20009 Verdana Village Blvd
Estero, FL 33928-9826
Phone (419) 221-6717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement88
Knee replacement11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45991KYMDOrthopaedic Surgery Physician
ME165184FLMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Sep 12, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Sep 12, 2016 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Nchmd, Inc Orthopaedic Surgery CurrentSince Oct 21, 2024 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Oct 21, 2024 Accepting new patients
Nchmd Inc Current Accepting new patients

Locations

1100 Immokalee Rd
Ste 100
Naples, FL 34110

11190 Health Park Blvd
Bldg 2
Naples, FL 34110
Phone (239) 624-1700

1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

4123 Dutchmans Ln
Ste 401
Louisville, KY 40207
Phone (502) 394-6341

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jstimac86759@nchhealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1225241060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY",
            "address_2": "SUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Creekside Blvd E Unit 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341090595",
            "country_code": "US",
            "telephone_number": "239-624-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIMAC",
        "first_name": "JEFFREY",
        "middle_name": "DANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "45991",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "FL",
            "license": "ME165184",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME165184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100141660",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstimac80060@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.