Active NPI
Brian K. Daines, M.D.
- Orthopaedic Surgery Physician
- Herrin, IL
National Provider Identifier
1962517656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 036.131162
- Practice address
- 510 Lincoln Drive
Herrin, IL 62948 - Phone
- (618) 997-6800
- Fax
- (618) 997-1187
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ML20008529 | WA | |
| Orthopaedic Surgery Physician | 207X00000X | 036.131162 | IL | Primary |
Addresses
Primary practice location
510 Lincoln Drive
Herrin, IL 62948
Mailing address
510 Lincoln Drive
Herrin, IL 62948
Phone (618) 997-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036131162 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151119003025 | AZ | Practitioner - Orthopedic Surgery | 1355599648 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sierra Vista Regional Health Center Medical Group LLC
Practice addresses (Care Compare)
5750 E Hwy 90
Suite 200
Sierra Vista, AZ 85635-9113
Phone (520) 263-3500
Hospital & facility affiliations
- Bayada Home Health Care, Inc
- Canyon Vista Medical Center
- Benson Hospital
- Northern Cochise Community Hospital, Inc.
- Copper Queen Community Hospital
- Tucson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 59 |
| Knee replacement | 86 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.131162 | IL | MD | Orthopaedic Surgery Physician |
| ML20008529 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Vista Regional Health Center Medical Group LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
5750 E Highway 90
Ste 375
Sierra Vista, AZ 85635
Phone (520) 263-3500
5750 E Highway 90
Ste 200
Sierra Vista, AZ 85635
Phone (520) 263-3500
151 Colonia de Salud
Ste B
Sierra Vista, AZ 85635
Phone (520) 263-3835
5750 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
Interoperability endpoints
- brian.daines.1@19231.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Sierra Vista, AZ
- NPI 1043575483
AZ, Orthopaedic Surgery
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sierra Vista, AZ
- NPI 1912291139
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393459200000",
"number": "1962517656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 LINCOLN DRIVE",
"city": "HERRIN",
"state": "IL",
"postal_code": "62948",
"telephone_number": "618-997-6800",
"fax_number": "618-997-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 LINCOLN DRIVE",
"city": "HERRIN",
"state": "IL",
"postal_code": "62948",
"telephone_number": "618-997-6800",
"fax_number": "618-997-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAINES",
"first_name": "BRIAN",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2014-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "ML20008529",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IL",
"license": "036.131162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036131162",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.