Individual provider Active NPI

Christopher S Eddleman, MD, PHD

  • Neurological Surgery Physician
  • Abilene, TX
National Provider Identifier
1639497563
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
N5028 Issued in TX
Practice address
1924 Pine St
Suite 504
Abilene, TX 79601-2451
Phone
(325) 670-4730
Fax
(325) 670-4736
NPI assigned
May 17, 2010
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036.124002 IL
Neurological Surgery Physician 207T00000X N5028 TX Primary

Addresses

Primary practice location

1924 Pine St
Suite 504
Abilene, TX 79601-2451

Mailing address

1924 Pine St
Suite 504
Abilene, TX 79601-2451
Phone (325) 670-4730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000118 TX Practitioner - NeurosurgeryPractitioner - Interventional Radiology 9830350834 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurosurgeryAlso: Interventional Radiology
Education
Texas Tech University Health Science Center School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher S Eddleman MD PHD PLLCGroup PAC ID 5597991737, 3 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1924 Pine St
Suite 504
Abilene, TX 79601-2452
Phone (325) 670-4730

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as individual
Quality
80.83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion136
Laminectomy or laminotomy (partial removal of spine bones)51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.124002ILMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher S. Eddleman, M.D., PHD, PLLC Neurological Surgery CurrentSince Jul 8, 2013 Accepting new patients
Hendrick Medical Center Past Accepting new patients

Locations

1924 Pine St
Ste 504
Abilene, TX 79601
Phone (325) 670-4730

Interoperability endpoints

  • Direct secure messaging: christophereddleman@neurosurgeryassociate-wt.direct.kno2fy.com

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 3

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": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1639497563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 PINE ST",
            "address_2": "SUITE 504",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012451",
            "telephone_number": "325-670-4730",
            "fax_number": "325-670-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 PINE ST",
            "address_2": "SUITE 504",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012451",
            "telephone_number": "325-670-4730",
            "fax_number": "325-670-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDLEMAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-17",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.124002",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "N5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.