NPIMap

Individual provider Active NPI

Daniel C Eby, D.O.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Jasper, IN
National Provider Identifier
1407859051
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
02001643 Issued in IN
Practice address
600 W. 13TH St
Suite 200
Jasper, IN 47546-1883
Phone
(812) 482-7441
Fax
(812) 482-7444
NPI assigned
May 27, 2005
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 02001643 IN Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 02001643A IN

Addresses

Primary practice location

600 W. 13TH St
Suite 200
Jasper, IN 47546-1883

Mailing address

600 W. 13TH St.
Suite 200
Jasper, IN 47546-1883
Phone (812) 482-7441

Other identifiers 5

IdentifierTypeStateIssuer
000000332839OtherINANTHEM BLUE CROSS BLUE SH
200042870AMedicaidIN
200021790OtherINRAILROAD MEDICARE
200042870MedicaidIN
5160900001OtherINMEDICARE DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000776 IN Practitioner - Orthopedic Surgery 1355310111 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Chicago College of Osteopathy, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel C Eby DO PCGroup PAC ID 1557330305, 3 clinicians

Practice addresses (Care Compare)

600 W 13TH St
Suite 200
Jasper, IN 47546-1883
Phone (812) 482-7441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.82 of 100Reported as individual
Quality
97.58
Promoting interoperability
85
Improvement activities
40
Cost
84.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement25
Lower limb (leg) arthroscopy (minimally invasive joint repair)16
Upper limb (arm) arthroscopy (minimally invasive joint repair)85
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02001643INMDSports Medicine (Orthopaedic Surgery) Physician
02001643AINMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C Eby D.O. PC Sports Medicine CurrentSince Jul 1, 2004 Accepting new patients
Major Hospital Past Accepting new patients

Locations

600 W 13th St
Jasper, IN 47546
Phone (812) 482-7441

600 W 13th St
Ste 200
Jasper, IN 47546
Phone (812) 482-7441

5066 N 900 E
Montgomery, IN 47558
Phone (812) 254-4650

Organizations & group practices 2

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.

Hospital & facility affiliations 10

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1407859051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W. 13TH ST.",
            "address_2": "SUITE 200",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461883",
            "telephone_number": "812-482-7441",
            "fax_number": "812-482-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W. 13TH ST",
            "address_2": "SUITE 200",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461883",
            "telephone_number": "812-482-7441",
            "fax_number": "812-482-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBY",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02001643",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "02001643A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000332839",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042870A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200021790",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200042870",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "5160900001",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.