Active NPI
Paul E Perry, M.D.
- Orthopaedic Hand Surgery Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 1042449
- Practice address
- 225 Crosslake Dr
Evansville, IN 47715-8198 - Phone
- (812) 477-1558
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 1042449 | IN | Primary |
| Orthopaedic Surgery Physician | 207X00000X | 1042449 | IN |
Addresses
Primary practice location
225 Crosslake Dr
Evansville, IN 47715-8198
Mailing address
225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000108334 | Other | IN | ANTHEM |
| 100353120A | Medicaid | IN | |
| 254018 | Other | IN | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Wright State University Boonshoft School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Crosslake Dr
Evansville, IN 47715-8198
Phone (812) 477-1558
Hospital & facility affiliations
- Ascension St Vincent Evansville
- Deaconess Hospital Inc
- Daviess Community Hospital
- Good Samaritan Hospital
- Wabash General Hospital 1
Merit-based Incentive Payment System (MIPS)
- Final score
- 66.6 of 100
- Quality
- 60.71
- Promoting interoperability
- 33
- Improvement activities
- 40
- Cost
- 83.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 154 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1042449 | IN | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Tri-State Orthopaedic Surgeons, Inc. | Current | Accepting new patients | |
| Orthopaedics-Indianapolis, Inc | Orthopaedic Surgery | Current | Accepting new patients |
Locations
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
5625 Pearl Dr
Ste 101
Evansville, IN 47712
Phone (812) 474-3800
8450 Northwest Blvd
Indianapolis, IN 46278
Interoperability endpoints
- 07perp@tsos.srs-direct.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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1336252451
-
- Orthopaedic Surgery Physician
- Evansville, IN
- NPI 1073501003
-
- Orthopaedic Surgery Physician
- Indianapolis, IN
- NPI 1134431125
-
- Orthopaedic Surgery Physician
- Terre Haute, IN
- NPI 1285433953
-
- Durable Medical Equipment & Medical Supplies
- Vincennes, IN
- NPI 1699414961
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, IN
- NPI 1861465999
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566950400000",
"number": "1861490450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CROSSLAKE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158198",
"telephone_number": "812-477-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CROSSLAKE DR",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158198",
"telephone_number": "812-477-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "PAUL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2019-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "IN",
"license": "1042449",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IN",
"license": "1042449",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000108334",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100353120A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "254018",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.