Individual provider Active NPI

Neal Everson, D.O.

  • Orthopaedic Surgery Physician
  • Fairbanks, AK
National Provider Identifier
1295175651
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
139353 Issued in AK
Practice address
2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305
Phone
(907) 479-2663
Fax
(907) 479-2691
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5101020630 MI
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 139353 AK Primary

Addresses

Primary practice location

2310 Peger Rd Ste 105
Fairbanks, AK 99709-5305

Mailing address

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20190918003340 AK Practitioner - Orthopedic Surgery 2163735010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic and Sportsmedicine Clinic of Fairbanks LLCGroup PAC ID 8820470636, 4 clinicians

Practice addresses (Care Compare)

2310 Peger Rd
Suite 105
Fairbanks, AK 99709-5305
Phone (907) 479-2663

Hospital & facility affiliations

  • Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score
28.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
94.62

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement33
Knee replacement35
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139353AKMDOrthopaedic Surgery Physician
5101020630MIMDOrthopaedic Surgery Physician
16434CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McKinley Orthopedic and Sports Medicine, LLC Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Orthopedic & Sportsmedicine Clinic of Fairbanks LLC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Scripps Health Current Accepting new patients

Locations

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

2310 Peger Rd
Ste 105
Fairbanks, AK 99709
Phone (907) 479-2663

Interoperability endpoints

  • Direct secure messaging: neverson104455@scrippshlth.medalliesdirect.net
  • Direct secure messaging: neverson428162@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1295175651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GEIST RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997093554",
            "telephone_number": "907-456-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PEGER RD STE 105",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095305",
            "telephone_number": "907-479-2663",
            "fax_number": "907-479-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERSON",
        "first_name": "NEAL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101020630",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "AK",
            "license": "139353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

Verify at the official NPI Registry.