Austin Wayne Ebert, PA-C

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

MD054137L Issued in PA

Practice address

1005 Campus Cir
Hermitage, PA 16148-7901

Phone

(724) 346-2677

Fax

(724) 346-2825

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hermitage Orthopedics and Sports Medicine PCGroup PAC ID 6800865627, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Edgewood Surgical Hospital Hospital, Transfer, PA, CCN 390307
• Upmc Horizon Hospital, Greenville, PA, CCN 390178

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Hermitage Orthopedics and Sports Medicine, P.C.

  • Specialist
  • Hermitage, PA
  • NPI 1679522478
  Medicare reassignment Care Compare group

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

• Surgery Center at Edgewood Place, LLC

  dba Edgewood Surgical Hospital

  • General Acute Care Hospital
  • Transfer, PA
  • NPI 1659392595
  Care Compare affiliation
• Surgery Center of Edgewood Place, LLC

  dba Lawrence County Surgery Center of Edgewood Surgical Hospital

  • Ambulatory Surgical Clinic/Center
  • New Castle, PA
  • NPI 1780919043

  Hospital

  Care Compare affiliation
• Upmc Horizon

  • General Acute Care Hospital
  • Greenville, PA
  • NPI 1225048838
  Care Compare affiliation
• Upmc Horizon

  • Ambulatory Surgical Clinic/Center
  • Greenville, PA
  • NPI 1952465890

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1396341384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-2677",
            "fax_number": "724-346-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 CAMPUS CIR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161487901",
            "telephone_number": "724-346-2677",
            "fax_number": "724-346-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERT",
        "first_name": "AUSTIN",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD054137L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dream Dental and Sleep LLC (Dream Dental and Sleep)
• Dream Sleep Apnea Therapeutics PLLC
• Cheryl Duffy
• Stacey L Durkin
• Eastwood Orthotics, Inc.
• Beth Ann Eckley
• Edwards OB GYN Group Inc
• Mark Christopher Elisco, D.M.D.
• Elite EMS, Inc.
• Melissa J Ellis, MSED, LPC

• Sports Medicine (Orthopaedic Surgery) Physician in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.

Verify at the official NPI Registry.