Daniel Mason Avery III, MD

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

54472 Issued in CT

Practice address

817 Princeton Avenue
Building 2, Suite 108
Birmingham, AL 35211-3521

Phone

(205) 781-1950

NPI assigned

Jun 28, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Orthopedic Surgery

Education

University of Alabama School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthosports Associates LLCGroup PAC ID 3173707171, 36 clinicians

Champion Sports Medicine Birmingham, LLCGroup PAC ID 4880082429, 180 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

Merit-based Incentive Payment System (MIPS)

Final score

84.68 of 100Reported as group

Improvement activities

40

Cost

69.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.avery.orthosportsassoc@osa.direct.systemedx.com

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.

• Orthosports Associates LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
  • NPI 1114226438
  Medicare reassignment Care Compare group NPD
• Champion Sports Medicine Birmingham, LLC.

  dba Champion Sports Medicine

  • Physical Therapy Clinic/Center
  • Gardendale, AL
  • NPI 1346813516
  Care Compare group
• Orthosports Associates LLC

  • Orthopaedic Surgery Physician
  • Birmingham, AL
  • NPI 1700519600
  NPD

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

• BBH PBMC, LLC

  dba Baptist Health Princeton Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235440918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 ST. VINCENT'S DRIVE, BLDG 3, STE 403",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051608",
            "telephone_number": "205-939-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVENUE",
            "address_2": "BUILDING 2, SUITE 108",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352113521",
            "telephone_number": "205-781-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060304037",
            "country_code": "US",
            "telephone_number": "860-679-6645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "DANIEL",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT197555",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CT",
            "license": "54472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Mize Autry, M.S., BCBA, LBA
• Autumn Stanford, Pmhnp-BC, LLC
• Avail Services, LLC
• Jack Averett, M.D.
• Anna Avery
• Tyra Avery
• Giovanni Avila, M.D.
• Kinlee Aviles, RBT
• Elizabeth Brooke Avino
• Kristin T Avis, PHD

• Sports Medicine (Orthopaedic Surgery) Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.