Matthew Ray Eubanks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-09321 Issued in NC

Practice address

35 Memorial Dr
Pinehurst, NC 28374-8708

Phone

(910) 715-3376

NPI assigned

Aug 19, 2019

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 NC

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

Merit-based Incentive Payment System (MIPS)

Final score

98.64 of 100Reported as group

Quality

94.98

Promoting interoperability

86

Improvement activities

40

Cost

94.14

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: meubanks11437@firsthealth.direct-ci.net

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.

• MCPC-11, LLC

  • Adult Mental Health Clinic/Center
  • Pinehurst, NC
  • NPI 1841635455
  Medicare reassignment

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1528615267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748708",
            "telephone_number": "910-715-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUBANKS",
        "first_name": "MATTHEW",
        "middle_name": "RAY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eriken LLC
• Claire Silao Esguerra
• Essence of Light
• Stacie R. Estes
• Carrie A Ettenberger
• Brianne Hendrick Evans, PA-C
• Heather Ann Evans, AU.D.
• Linda Mae Evans, LCSW
• Faith Witt, DDS, PLLC
• Joshua Falk, CRNA

• Physician Assistant in Pinehurst, NC
• Providers in Pinehurst, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.