Jeffrey A Dlabach, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

28662 Issued in TN

Practice address

99 Market Center Dr
Collierville, TN 38017-6913

Phone

(901) 861-9610

Fax

(901) 861-9611

NPI assigned

Sep 27, 2005

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 MS, TN2 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 2

Specialty

Orthopedic Surgery

Education

University of Oklahoma College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Associates Inc 1,432 clinicians

Orthoone Sports Medicine and Orthopaedics PLLC 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.16 of 100Reported as individual

Quality

63.63

Improvement activities

40

Cost

75.69

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdlabach27064@mlh.direct-ci.com

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.

• Orthoone Sports Medicine & Orthopaedics, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Collierville, TN
  • NPI 1710229018

  Sports Medicine, TN

  Medicare reassignment Care Compare group NPD
• Orthoone Sports Medicine & Orthopaedics, PLLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Olive Branch, MS
  • NPI 1053530246

  MS, Sports Medicine

  Medicare reassignment Care Compare group NPD
• Orthoone Sports Medicine & Orthopaedics, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Olive Branch, MS
  • NPI 1447427752

  Sports Medicine

  Care Compare group NPD
• Orthoone Sports Medicine & Orthopaedics, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Collierville, TN
  • NPI 1053588509
  Care Compare group
• Campbell Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Carthage, TN
  • NPI 1669366068
  NPD (past)
• Campbell Clinic, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1003835141

  Sports Medicine

  NPD (past)
• CC Bpci PLC

  • Orthopaedic Surgery Physician
  • Germantown, TN
  • NPI 1881387330
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1689660375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MARKET CENTER DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176913",
            "telephone_number": "901-861-9610",
            "fax_number": "901-861-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MARKET CENTER DR",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380176913",
            "telephone_number": "901-861-9610",
            "fax_number": "901-861-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLABACH",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TN",
            "license": "28662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Suzanne Detty Oswaks, DNSC
• Matthew Zane Devazier
• Phyllis A Dickinson-Branch, DDS
• Jacqualine Drake Dickson, FNP - C
• Nicholas Alexander Diloreto
• Nicole D Dotson
• Mia Star Douglas
• Dr Mark Lynn & Associates PLLC
• Dr Mark Wallace PLLC
• Dr Ted S Cooper Optometry LLC

• All providers in Collierville, TN
• Sports Medicine (Orthopaedic Surgery) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.