Individual provider Active NPI

Michael Pierce Ebaugh

  • Student in an Organized Health Care Education/Training Program
  • Columbus, OH
National Provider Identifier
1306238621
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
I20200729004109 TX Practitioner - Orthopedic Surgery 9436418969 Reassigns benefits to 1 organization
I20210715002297 FL Practitioner - Orthopedic Surgery 9436418969 Reassigns benefits to 1 organization

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, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

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 Hospital, Orlando, FL, CCN 100006
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030

Merit-based Incentive Payment System (MIPS)

Final score
79.91 of 100Reported as group
Quality
61.18
Promoting interoperability
100
Improvement activities
40
Cost
71.86

Procedures performed for Medicare patients

ProcedureNumber 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

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc Foot and Ankle Surgery CurrentSince Sep 1, 2021 Accepting new patients
Fondren Orthopedic Group LLP CurrentSince Aug 1, 2020 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 CurrentSince Sep 1, 2021 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

  • Direct secure messaging: mebaugh255081@orlandohealth.medalliesdirect.net
  • FHIR API: https://api.platform.athenahealth.com/15533/brand/8/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.