ROBERT B SLOAN JR. MD
NPI 1427025592
Neurological Surgery in Indianapolis, IN
NPI Status: Active since March 07, 2006
Contact Information
1400 N RITTER AVE
STE #479
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-1470
Fax: (317) 355-1475
- Individual
- Male
- Years of Experience 26
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROBERT SLOAN
This page provides the complete NPI Profile along with additional information for Robert Sloan, a provider established in Indianapolis, Indiana with a medical specialization in Neurological Surgery and more than 26 years of experience. He graduated from Indiana University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1427025592 assigned on March 2006. The practitioner's primary taxonomy code is 207T00000X with license number 01059582A (IN). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1427025592
- Provider Name
- ROBERT B SLOAN JR. MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1400 N RITTER AVE STE #479 INDIANAPOLIS, IN 46219
- Location Phone
- (317) 355-1470
- Location Fax
- (317) 355-1475
- Mailing Address
- 6626 E 75TH ST SUITE 500 INDIANAPOLIS, IN 46250
- Medical School Name
- INDIANA UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2000
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-07-2006
- Last Update Date
- 11-27-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 01059582A
- License State
- IN
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 9200 $25 Generic Drugs - HMO
- Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs Adult Vision & Fitness - HMO
- Connect Bronze 3800 Indiv Med Deductible - EPO
- Connect Bronze 7000 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze 8550 Indiv Med Deductible - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3000 Indiv Med Deductible - EPO
- Connect Silver 7000 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P01152201 | OTHER (01) | IN | RAILROAD MEDICARE |
| 000000764470 | OTHER (01) | IN | ANTHEM |
| 200851750 | MEDICAID (05) | IN | |
| 7704810 | OTHER (01) | IN | AETNA |
Medicare Participation & PECOS Enrollment Status
Robert Sloan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Robert Sloan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7012910045
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20060814000051
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Follow-up hospital inpatient care per day, typically 15 minutes
Initial hospital inpatient care per day, typically 30 minutes
Insertion of cage or mesh device to spine bone and disc space during spine fusion
Insertion of spinal neurostimulator generator or receiver
Laminectomy or laminotomy (partial removal of spine bones)
New patient office or other outpatient visit, 30-44 minutes
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Removal of spine bone for insertion of neurostimulator electrode plate in spine
Spinal fusion
Stabilization of lower spine bone
Telephone medical discussion with physician, 5-10 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 165 times for 125 patientsFollow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
This service was performed 42 times for 30 patientsInitial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
This service was performed 56 times for 55 patientsSpine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
This service was performed 16 times for 13 patientsThe insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.
This service was performed 25 times for 24 patientsA laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.
This service was performed for 56 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 109 times for 109 patientsThis procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
This service was performed 11 times for 11 patientsThis procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.
This service was performed 25 times for 25 patientsSpinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.
This service was performed for 30 patientsStabilization of the lower spine bone is a surgical procedure that helps to stop painful movement in the spine. It involves fusing together the vertebrae (the small bones in the spine) using metal rods, screws or bone grafts. This offers support and reduces discomfort.
This service was performed 16 times for 16 patientsA telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
This service was performed 24 times for 24 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.62 for a new patient copayment and $16.62 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 46219 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $122.49
- Minimum New Patient Price $53.07
- Maximum New Patient Price $161.76
- Average New Patient Copayment $30.62
- Minimum New Patient Copayment $13.26
- Maximum New Patient Copayment $40.44
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $66.48
- Minimum Established Patient Price $16.93
- Maximum Established Patient Price $132.22
- Average Established Patient Copayment $16.62
- Minimum Established Patient Copayment $4.23
- Maximum Established Patient Copayment $33.05
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Robert Sloan is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COMMUNITY HOSPITAL EAST | 1500 N RITTER AVE INDIANAPOLIS, IN 46219 | (317) 355-5411 | Acute Care Hospitals | |
| COMMUNITY HOSPITAL NORTH | 7150 CLEARVISTA DR INDIANAPOLIS, IN 46256 | (317) 621-5335 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 2 | 5 | 5 | 9 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 2 | 10 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 2 + 1 + 0 + 5 + 1 + 8 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1427025592 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053318071 | ROBERT STANLEY FLINT II MD PHD Individual | Psychiatry & Neurology (Neurology) | 1400 N RITTER AVE SUITE 451 INDIANAPOLIS, IN 46219 (317) 356-8301 |
| 1386636413 | GERALD KEENER JR. MD Individual | Ophthalmology | 1400 N RITTER AVE STE 276 INDIANAPOLIS, IN 46219 (317) 352-1841 |
| 1962473785 | STEVEN F ISENBERG MD Individual | Otolaryngology (Otolaryngic Allergy) | 1400 N RITTER AVE SUITE 221 INDIANAPOLIS, IN 46219 (317) 355-1010 |
| 1124078050 | INDIANA HEART ASSOCIATES PC Organization | Internal Medicine (Cardiovascular Disease) | 1400 N RITTER AVE SUITE 500 INDIANAPOLIS, IN 46219 (317) 355-1234 |
| 1053346437 | COMMUNITY HOSPITALS OF INDIANA Organization | Orthopaedic Surgery | 1400 N RITTER AVE SUITE 510 INDIANAPOLIS, IN 46219 (317) 355-2050 |
| 1780606251 | JAMES J LIVENGOOD O.D. Individual | Optometrist | 1400 N RITTER AVE 281 INDIANAPOLIS, IN 46219 (317) 357-8663 |
| 1033217534 | COMMUNITY GASTROENTEROLOGY PC Organization | Internal Medicine (Gastroenterology) | 1400 N RITTER AVE STE 210 INDPLS, IN 46219 (317) 355-4191 |
| 1346320421 | BECKY JO YANCEY PA Individual | Physician Assistant | 1400 N RITTER AVE SUITE 120 INDIANAPOLIS, IN 46219 (317) 355-1555 |
| 1578646741 | COMMUNITIY HOSPITALS OF INDIANA INC Organization | Surgery | 1400 N RITTER AVE SUITE 330 INDIANAPOLIS, IN 46219 (317) 621-7527 |
| 1538232707 | MR. KRISTOPHER A LOES RPH Individual | Pharmacist (Pharmacotherapy) | 1400 N RITTER AVE INDIANAPOLIS, IN 46219 (317) 355-3030 |
| 1710051925 | GASTROENTEROLOGY ASSOCIATES, INC Organization | Internal Medicine (Gastroenterology) | 1400 N RITTER AVE SUITE 370 INDIANAPOLIS, IN 46219 (317) 355-1144 |
| 1386719680 | KATHLEEN BLANTON HAYNES PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1400 N RITTER AVE SUITE #211 INDIANAPOLIS, IN 46219 (317) 355-6915 |
| 1366518748 | MRS. KRISTEN LYNN KOBOLD RPH, PHARMD BCPS Individual | Pharmacist (Pharmacotherapy) | 1400 N RITTER AVE SUITE #211 INDIANAPOLIS, IN 46219 (317) 355-6895 |
| 1912036104 | STEVEN F ISENBERG MD INC Organization | Clinic/Center (Medical Specialty) | 1400 N RITTER AVE SUITE 221 INDIANAPOLIS, IN 46219 (317) 355-1010 |
| 1841323474 | COMMUNITY HOSPITALS OF INDIANA INC Organization | Obstetrics & Gynecology | 1400 N RITTER AVE SUITE 431 INDIANAPOLIS, IN 46219 (317) 355-3090 |
| 1992821631 | INDIANA HEART ASSOCIATES PC Organization | Internal Medicine (Cardiovascular Disease) | 1400 N RITTER AVE SUITE 500 INDIANAPOLIS, IN 46219 (317) 355-9783 |
| 1013130533 | COMMUNITY HOSPITALS OF INDIANA INC Organization | Neurological Surgery | 1400 N RITTER AVE SUITE 231 INDIANAPOLIS, IN 46219 (317) 355-1470 |
| 1629347802 | MRS. ERIN WEBER PHARMD Individual | Pharmacist | 1400 N RITTER AVE INDIANAPOLIS, IN 46219 (317) 355-6911 |
| 1053659078 | COMMUNITY PHYSICIANS OF INDIANA INC Organization | Orthopaedic Surgery | 1400 N RITTER AVE SUITE 510 INDIANAPOLIS, IN 46219 (317) 355-2050 |
| 1396083028 | COMMUNITY PHYSICIANS OF INDIANA INC Organization | Orthopaedic Surgery | 1400 N RITTER AVE SUITE 351 INDIANAPOLIS, IN 46219 (317) 863-2213 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427025592, enumerated in the NPI registry as an "individual" on March 07, 2006
The provider is located at 1400 N Ritter Ave Ste #479 Indianapolis, In 46219 and the phone number is (317) 355-1470
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider has more than 26 years of experience. He graduated from Indiana University School Of Medicine in 2000.
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $122.49 with an average copayment of $30.62 for new patient appointments. Established patients should expect a typical charge of $66.48 and an average copayment of 16.62. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Initial hospital inpatient care per day, typically 30 minutes, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Insertion of spinal neurostimulator generator or receiver, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 30-44 minutes, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment, Removal of spine bone for insertion of neurostimulator electrode plate in spine, Spinal fusion, Stabilization of lower spine bone and Telephone medical discussion with physician, 5-10 minutes.
The practitioner is affiliated to the following hospital(s): COMMUNITY HOSPITAL EAST and COMMUNITY HOSPITAL NORTH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on March 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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