David Hagan

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

01099273A Issued in IN

Practice address

555 E County Line Rd
Greenwood, IN 46143-1063

Phone

(317) 497-2130

Fax

(317) 957-2730

NPI assigned

Apr 4, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, NV2 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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Reno Orthopaedic Clinic LTDGroup PAC ID 2567355316, 96 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599
• Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

95.71 of 100Reported as apm

Quality

89.85

Promoting interoperability

94.05

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Regents of the Univ of Ca

  • Maternal & Fetal Medicine Physician
  • Sacramento, CA
  • NPI 1013906973
  Medicare reassignment Care Compare group NPD
• Reno Orthopaedic Clinic, LTD

  dba Reno Orthopedic Center

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1245228972
  Medicare reassignment Care Compare group NPD
• Barton Healthcare System

  dba Lake Tahoe Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Zephyr Cove, NV
  • NPI 1700963725
  Medicare reassignment NPD
• Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp

  dba Tahoe Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Zephyr Cove, NV
  • NPI 1609937911
  Medicare reassignment NPD
• Tahoe Orthopedics & Sports Medicine, Inc.

  • Orthopaedic Surgery Physician
  • South Lake Tahoe, CA
  • NPI 1902131287
  Medicare reassignment NPD
• Barton Healthcare System

  • Diagnostic Radiology Physician
  • Stateline, NV
  • NPI 1467046102
  NPD
• Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp

  • Durable Medical Equipment & Medical Supplies
  • Carson City, NV
  • NPI 1619126240
  NPD
• Regents of the Univ of Ca

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1275526295
  NPD
• Regents of the Univ of Ca

  • Diagnostic Radiology Physician
  • Sacramento, CA
  • NPI 1477546406
  NPD
• Reno Orthopaedic Clinic, LTD

  dba Reno Orthopedic Center

  • Orthopaedic Surgery Physician
  • Reno, NV
  • NPI 1245940592
  NPD
• Reno Orthopaedic Clinic, LTD

  • Orthopaedic Surgery Physician
  • Fernley, NV
  • NPI 1619839727
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regents of the University of California

  dba University of California Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  Care Compare affiliation
• Renown Regional Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1932517299
  Care Compare affiliation

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1992238257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E COUNTY LINE RD",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431063",
            "telephone_number": "317-497-2130",
            "fax_number": "317-957-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 C St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958163384",
            "country_code": "US",
            "telephone_number": "916-734-2700",
            "fax_number": "916-734-7137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAGAN",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IN",
            "license": "01099273A",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CA",
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300133007",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joe Gutzwiller
• Jerry Wayne Hack, LCSW, LMFT
• Crystal Hackett, NP-C
• Stephanie Danielle Hadley
• Terrence D Haffner, MD
• Ingrid Norma Haggstrom, PT
• Aliya Haider, M.D
• Elyzabeth Halberstadt, RBT
• Angel Hale
• Christopher M Hall, PT

• Sports Medicine (Orthopaedic Surgery) Physician in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.