Individual provider Active NPI

Gracia Etienne, MD

  • Adult Reconstructive Orthopaedic Surgery Physician
  • York, PA
National Provider Identifier
1669479788
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
MD425799 Issued in PA
Practice address
1855 Powder Mill Rd
York, PA 17402-4723
Phone
(717) 848-4800
Fax
(717) 741-9867
NPI assigned
Jul 5, 2005
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD425799 PA Primary

Addresses

Primary practice location

1855 Powder Mill Rd
York, PA 17402-4723

Mailing address

1861 Powder Mill Rd
Attn Mso
York, PA 17402-4723
Phone (717) 718-2041

Other practice location 1

1665 Roosevelt Ave
York, PA 17408-8549
Phone (717) 848-4800

Other practice location 2

1493 S. Queen Street
York, PA 17403
Phone (717) 873-7237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address getienne@osshealth.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050318000368 PA Practitioner - Orthopedic Surgery 8921902206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.65 of 100Reported as group
Quality
99.23
Promoting interoperability
100
Improvement activities
40
Cost
86.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD425799PAMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oss Orthopaedic Hospital, LLC CurrentSince Sep 1, 2012 Accepting new patients
Oss Orthopaedic Hospital, LLC CurrentSince Sep 1, 2012 Accepting new patients
York TMS Clinic, LLC CurrentSince Jun 17, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1493 S Queen St
York, PA 17403
Phone (717) 430-0434

1665 Roosevelt Ave
York, PA 17408
Phone (717) 747-8350

1750 5th Ave
Ste 201
York, PA 17403
Phone (717) 848-2297

1855 Powder Mill Rd
York, PA 17402

1861 Powder Mill Rd
York, PA 17402
Phone (717) 718-2000

Interoperability endpoints

  • Direct secure messaging: getienne@osshealth.medentdirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1669479788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 POWDER MILL RD",
            "address_2": "ATTN MSO",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-718-2041",
            "fax_number": "717-741-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 POWDER MILL RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024723",
            "telephone_number": "717-848-4800",
            "fax_number": "717-741-9867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088549",
            "country_code": "US",
            "telephone_number": "717-848-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1493 S. Queen Street",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "17403",
            "country_code": "US",
            "telephone_number": "717-873-7237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ETIENNE",
        "first_name": "GRACIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PA",
            "license": "MD425799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "getienne@osshealth.medentdirect.com",
            "affiliation": "N",
            "address_1": "1855 Powder Mill Rd",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174024723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.