Active NPI
Michael Pierce Ebaugh
- Student in an Organized Health Care Education/Training Program
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5100 W Broad St
Doctors Hospital
Columbus, OH 43228-1607 - Phone
- (614) 544-1000
- Fax
- (614) 544-1751
- NPI assigned
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | S4133 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5100 W Broad St
Doctors Hospital
Columbus, OH 43228-1607
Mailing address
2920 W Wallcraft Ave
Tampa, FL 33611-1651
Phone (813) 505-7610
Other practice location 1
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ability Health Services, IncAbility Health Services and Rehabilitation LP
Practice addresses (Care Compare)
1200 Lexington Green LN
Sanford, FL 32771-1013
1414 Kuhl Ave
Orlando, FL 32806-2008
Phone (407) 841-5111
Hospital & facility affiliations
- Orlando Health
- Adventhealth Orlando
- Orlando Health South Lake Hospital
- Orlando Health-Health Central Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Foot and Ankle Surgery | Current | Accepting new patients |
| Fondren Orthopedic Group LLP | Current | Accepting new patients | |
| Orlando Health, Inc. | Current | Accepting new patients | |
| Fondren Orthopedic Group L.L.P. | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients |
Locations
1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
17000 Porter Rd
Ste 205
Winter Garden, FL 34787
2635 W Baker Rd
Baytown, TX 77521
Phone (281) 337-8550
7401 Main St
Houston, TX 77030
Phone (713) 799-8600
Networks
- Freedom Health HMO Network
Interoperability endpoints
- mebaugh255081@orlandohealth.medalliesdirect.net
- https://api.platform.athenahealth.com/15533/brand/8/csg/1/fhir/r4
- mebaugh13343@direct.uth.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1609830595
-
- Orthopaedic Surgery Physician
- Houston, TX
- NPI 1164684569
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
Foot and Ankle Surgery
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Ocoee, FL
- NPI 1033475959
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
-
- General Acute Care Hospital
- Clermont, FL
- NPI 1336221019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1306238621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 W WALLCRAFT AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111651",
"telephone_number": "813-505-7610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 W BROAD ST",
"address_2": "DOCTORS HOSPITAL",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281607",
"telephone_number": "614-544-1000",
"fax_number": "614-544-1751"
}
],
"practiceLocations": [
{
"address_1": "6400 Fannin St Ste 1700",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301526",
"country_code": "US",
"telephone_number": "713-486-7500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EBAUGH",
"first_name": "MICHAEL",
"middle_name": "PIERCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-24",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "TX",
"license": "S4133",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.