NPIMap

Individual provider Active NPI

Ryan Matthew Carbaugh, D.O.

  • Gastroenterology Physician
  • Danville, KY
National Provider Identifier
1437541570
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
04706 Issued in KY
Practice address
216 W Walnut St Ste a
Danville, KY 40422-1832
Phone
(859) 239-5870
Fax
(859) 239-5879
NPI assigned
Feb 26, 2015
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34.012951 OH
Internal Medicine Physician 207R00000X 04706 KY
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 04706 KY Primary

Addresses

Primary practice location

216 W Walnut St Ste a
Danville, KY 40422-1832

Mailing address

216 W Walnut St
Ste a
Danville, KY 40422-1832
Phone (859) 239-5870

Other practice location 1

7007 Powers Blvd
University Hospitals Parma Medical Center
Parma, OH 44129
Phone (440) 743-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210225002676 KY Practitioner - GastroenterologyPractitioner - Internal Medicine 6002111663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

216 W Walnut St
Suite a
Danville, KY 40422-1832
Phone (859) 239-5870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.66 of 100Reported as group
Quality
39.23
Promoting interoperability
99
Improvement activities
40
Cost
43.79

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy129
Upper gastrointestinal (GI) endoscopy for acid reflux199

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 24, 2021 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Feb 24, 2021 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Ephraim McDowell Health Resource, Inc Gastroenterology Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

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, 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": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1437541570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W WALNUT ST",
            "address_2": "STE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221832",
            "telephone_number": "859-239-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W WALNUT ST STE A",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221832",
            "telephone_number": "859-239-5870",
            "fax_number": "859-239-5879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7007 Powers Blvd",
            "address_2": "University Hospitals Parma Medical Center",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "44129",
            "country_code": "US",
            "telephone_number": "440-743-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBAUGH",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.012951",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "04706",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": "04706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.