Individual provider Active NPI

Chance Landon McCutcheon, MD, MBA

  • Orthopaedic Surgery Physician
  • North Liberty, IA
National Provider Identifier
1982342648
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R-13537 Issued in IA
Practice address
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone
(319) 353-6747
Fax
(319) 353-6754
NPI assigned
May 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R-13537 IA Primary

Addresses

Primary practice location

701 W Forevergreen Rd
North Liberty, IA 52317-9848

Mailing address

701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 353-6747

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250618000122 IA Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 9638680457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1982342648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "319-353-6747",
            "fax_number": "319-353-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FOREVERGREEN RD",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179848",
            "telephone_number": "319-353-6747",
            "fax_number": "319-353-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-353-6747",
            "fax_number": "319-353-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "CHANCE",
        "middle_name": "LANDON",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "R-13537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.