Daric Todd Neuschafer, PA-C
Individual provider Active NPI Physician Assistant · Liberty, MO
NPI 1871566646 · NPPES record last updated Jun 3, 2021
Key facts
- NPI
- 1871566646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2020000890 (MO)
- Practice address
- 2525 Glenn Hendren Drive Suite 204
Liberty, MO 64068 - Phone
- (620) 669-2500
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
167 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
2060 Sam Rittenberg Blvd
Charleston, SC 29407-4616
Phone (843) 792-1414
Hospital & facility affiliations
- Musc Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.02 of 100
- Quality
- 62.41
- Promoting interoperability
- 99
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.21 of 100
- Quality
- 69.99
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 68.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805004116 | SC | Practitioner - Physician Assistant | 7012805971 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Physician Assistant | Current |
Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
Interoperability endpoints
- dneuschafer477975@direct.musc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-00932 | KS | |
| Physician Assistant | 363A00000X | 2020000890 | MO | Yes |
Addresses
Primary practice location
2525 Glenn Hendren Drive Suite 204
Liberty, MO 64068
Mailing address
104 Prairie Court
Kearney, MO 64060
Phone (620) 669-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200005140A | Medicaid | KS |
Other providers in Liberty, MO
- Jennifer Lee Neitzel
- Lisa Nelson
- Steven Christopher Nelson
- Sheryl Ann Nespory
- Keith W Neuenswander
- Christy Lynn Nevins
- Elizabeth Critelli Nevshemal
- New Liberty Hospital Coporation
- New Liberty Hospital Coporation
- New Liberty Hospital Coporation
All providers in Liberty, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.