Individual provider Active NPI

Ronald Lee Devore, M.D.

  • Otolaryngology Physician
  • Springboro, OH
National Provider Identifier
1619078201
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35-06-1143-D Issued in OH
Practice address
7831 Locust Grove CT
Springboro, OH 45066-7118
Phone
(937) 776-3260
Fax
(937) 312-9369
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01091188A IN
Otolaryngology Physician 207Y00000X 35-06-1143-D OH Primary

Addresses

Primary practice location

7831 Locust Grove CT
Springboro, OH 45066-7118

Mailing address

7831 Locust Grove CT
Springboro, OH 45066-7118
Phone (937) 776-3260

Other practice location 1

7388 Business Center Dr
Avon, IN 46123-6973
Phone (888) 938-3838

Other identifiers 1

IdentifierTypeStateIssuer
0818931MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WI, MN, IN, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20070416000012 OH Practitioner - Otolaryngology 8820992324 Reassigns benefits to 2 organizations
I20220405000968 WI Practitioner - Otolaryngology 8820992324 Reassigns benefits to 1 organization
I20230425002922 MN Practitioner - Otolaryngology 8820992324 Reassigns benefits to 1 organization
I20240131004413 IN Practitioner - Otolaryngology 8820992324 Reassigns benefits to 1 organization
I20260407002847 FL Practitioner - Otolaryngology 8820992324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halifax Healthcare Systems IncGroup PAC ID 1254238090, 345 clinicians

Practice addresses (Care Compare)

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
74.25
Promoting interoperability
100
Improvement activities
40
Cost
76.16

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Physicians Group LLC CurrentSince Feb 1, 2023 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Feb 20, 2023 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC Otolaryngology CurrentSince Sep 1, 2024 Accepting new patients
Advanced Ear Nose & Throat Specialists, SC CurrentSince Sep 1, 2024 Accepting new patients
Center for Sleep and Nasal Sinus Disorders, LLC CurrentSince Jan 2, 2024 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Advanced Ear Nose & Throat Specialists, PLLC Otolaryngology Past Accepting new patients
Center for Sleep and Nasal Sinus Disorders, LLC Otolaryngology Past Accepting new patients

Locations

7388 Business Center Dr
Avon, IN 46123
Phone (317) 272-0480

9500 Priority Way West Dr
#100
Indianapolis, IN 46240

6920 S East St
Ste B
Indianapolis, IN 46227
Phone (317) 497-6880

53760 Generations Dr
South Bend, IN 46635
Phone (219) 247-4444

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

6531 Market Ave N
#100
Canton, OH 44721

4030 Easton Sta
Ste 200
Columbus, OH 43219
Phone (614) 566-0929

5775 Perimeter Dr
Ste 150
Dublin, OH 43017

9260 Marketplace Dr
Ste 102
Miamisburg, OH 45342

17986 Royalton Rd
Strongsville, OH 44136

630 W Main St
Ste 207
Wilmington, OH 45177
Phone (937) 283-2570

630 W Main St
Ste 300
Wilmington, OH 45177
Phone (937) 283-9707

28601 Chagrin Blvd
Ste 250
Woodmere, OH 44122

247 S Nicolet Rd
Appleton, WI 54914

2654 S Oneida St
Stop 102
Green Bay, WI 54304

10001 W Innovation Dr
Ste 200
Wauwatosa, WI 53226

2885 N Mayfair Rd
Wauwatosa, WI 53222
Phone (414) 615-7044

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6237/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/19820/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1619078201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 LOCUST GROVE CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667118",
            "telephone_number": "937-776-3260",
            "fax_number": "937-312-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 LOCUST GROVE CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450667118",
            "telephone_number": "937-776-3260",
            "fax_number": "937-312-9369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7388 Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "IN",
            "postal_code": "461236973",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01091188A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35-06-1143-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0818931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.