Active NPI 1093000366 Individual Practitioner Male Practitioner

Dr. Gregg M Ebersole , MD

Orthopaedic Surgery • South Bend, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Gregg Ebersole, MD is a certified Orthopaedic Surgery practicing in South Bend, IN. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Ebersole delivers high-quality medical care to the local community at 100 NAVARRE PL STE 4440.

Dr. Ebersole is affiliated with Beacon Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, x-ray of hip, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Navarre Pl Ste 4440

South Bend, IN 466011171

Telephone 5746475300

Fax 5746475305

Associated Practice Facility / Clinic

🏢 Beacon Medical Group, Inc. Facility NPI 1447203674

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in South Bend, IN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -3.5 yrs vs City Avg

City Avg: 18.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

32 Specialists

Practicing in South Bend, IN (530 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ebersole (15 Years) 15 Yrs

South Bend Specialty Average (18.5 Years) 18.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	391	67	$11.00	$0.98
99213 Established patient office or other outpatient visit, typically 15 minutes	138	113	$192.00	$84.21
73502 X-ray of hip, 2-3 views	134	108	$98.00	$33.13
73562 X-ray of knee, 3 views	110	86	$92.25	$30.89
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$356.00	$153.41
20610 Aspiration and/or injection of fluid from large joint	100	79	$227.70	$63.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	86	$274.00	$118.54
73564 X-ray of knee, 4 or more views	59	59	$107.85	$40.04
27447 Replacement of knee joint, both sides of knee	39	38	$3954.00	$1153.38
27130 Replacement of thigh bone and hip joint with prosthesis	37	36	$3959.00	$1129.41
77073 Imaging for bone length assessment	28	25	$88.00	$29.11
20985 Computer-assisted surgery for muscle and bone procedure	19	19	$458.00	$128.50
72170 X-ray of pelvis, 1-2 views	13	13	$53.00	$17.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$289.00	$120.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	519	94	$11.00	$1.07
73502 X-ray of hip, 2-3 views	165	123	$98.01	$32.85
73562 X-ray of knee, 3 views	148	89	$90.07	$29.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$356.00	$154.74
99213 Established patient office or other outpatient visit, typically 15 minutes	130	108	$192.00	$83.98
20610 Aspiration and/or injection of fluid from large joint	120	99	$234.30	$64.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	94	$274.00	$117.62
73564 X-ray of knee, 4 or more views	67	66	$118.93	$39.84
27447 Replacement of knee joint, both sides of knee	51	50	$3954.00	$1166.23
27130 Replacement of thigh bone and hip joint with prosthesis	42	42	$3959.00	$1156.47
77073 Imaging for bone length assessment	41	40	$88.00	$29.11
72170 X-ray of pelvis, 1-2 views	25	24	$53.00	$17.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$289.00	$121.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	384	68	$11.00	$1.13
73502 X-ray of hip, 2-3 views	143	99	$98.00	$33.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	143	143	$356.00	$155.48
73562 X-ray of knee, 3 views	138	87	$89.12	$29.76
99213 Established patient office or other outpatient visit, typically 15 minutes	115	89	$192.00	$85.14
20610 Aspiration and/or injection of fluid from large joint	100	78	$231.66	$64.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	87	$274.00	$119.26
73564 X-ray of knee, 4 or more views	63	62	$108.75	$37.16
27447 Replacement of knee joint, both sides of knee	46	43	$3954.00	$1159.58
27130 Replacement of thigh bone and hip joint with prosthesis	41	41	$3959.00	$1157.12
77073 Imaging for bone length assessment	38	37	$88.00	$29.46
72170 X-ray of pelvis, 1-2 views	31	30	$53.00	$17.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$289.00	$126.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$427.00	$185.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg	488	11	$68.03	$17.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	345	70	$11.00	$1.27
73502 X-ray of hip, 2-3 views	148	105	$84.00	$32.20
73562 X-ray of knee, 3 views	139	89	$79.30	$30.88
99213 Established patient office or other outpatient visit, typically 15 minutes	116	98	$157.00	$85.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$352.00	$157.49
20610 Aspiration and/or injection of fluid from large joint	101	82	$206.61	$60.81
73564 X-ray of knee, 4 or more views	82	78	$92.49	$36.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	55	$232.00	$122.65
27447 Replacement of knee joint, both sides of knee	46	43	$4214.00	$1199.43
77073 Imaging for bone length assessment	40	38	$83.00	$28.50
27130 Replacement of thigh bone and hip joint with prosthesis	37	35	$4218.00	$1170.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	31	$94.00	$52.25
72170 X-ray of pelvis, 1-2 views	22	22	$64.00	$17.43
73523 X-ray of both hips, minimum of 5 views	18	18	$113.00	$42.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$239.38	$105.68
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$66.00	$26.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	433	84	$11.00	$1.41
73502 X-ray of hip, 2-3 views	131	92	$83.86	$30.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	120	120	$352.00	$153.40
20610 Aspiration and/or injection of fluid from large joint	115	92	$222.33	$62.40
73564 X-ray of knee, 4 or more views	98	80	$81.36	$29.20
73562 X-ray of knee, 3 views	96	62	$73.88	$27.21
99213 Established patient office or other outpatient visit, typically 15 minutes	89	76	$157.00	$70.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	38	$232.00	$101.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$94.00	$42.70
27130 Replacement of thigh bone and hip joint with prosthesis	28	27	$4218.00	$1246.38
27447 Replacement of knee joint, both sides of knee	27	26	$4214.00	$1281.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$230.00	$101.59
73523 X-ray of both hips, minimum of 5 views	14	14	$113.00	$37.11
72170 X-ray of pelvis, 1-2 views	12	12	$60.83	$15.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	579	96	$11.00	$1.57
20610 Aspiration and/or injection of fluid from large joint	160	111	$219.72	$59.37
99213 Established patient office or other outpatient visit, typically 15 minutes	148	100	$157.00	$69.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	137	137	$352.00	$153.88
73502 X-ray of hip, 2-3 views	125	82	$94.01	$32.12
73562 X-ray of knee, 3 views	97	65	$90.22	$30.60
73564 X-ray of knee, 4 or more views	57	56	$101.65	$35.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$230.00	$100.90
27130 Replacement of thigh bone and hip joint with prosthesis	33	33	$4218.00	$1256.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$232.00	$102.28
27447 Replacement of knee joint, both sides of knee	20	20	$4214.00	$1255.63
72170 X-ray of pelvis, 1-2 views	13	13	$74.00	$25.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	22	$8.00	$1.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$240.63	$152.41
20610 Aspiration and/or injection of fluid from large joint	35	26	$286.37	$55.37
99213 Established patient office or other outpatient visit, typically 15 minutes	29	21	$106.00	$68.51
73562 X-ray of knee, 3 views	24	19	$127.13	$38.89
73502 X-ray of hip, 2-3 views	15	13	$108.53	$36.55

Medical Specialties & State Licenses

CMS Verified: 2021-04-01

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License IN 01079875A

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

300013151 (IN)

Commercial Insurance / Payer ID Medicare

261970087 (IN)

Hospital & Practice Group Affiliations

Beacon Medical Group Inc

100 Navarre Pl, South Bend, IN 466011172

Phone: 5746475200

Secondary Practice Locations

3221 Beacon Pkwy

Granger, IN 465307196

Phone: 5746471670

1815 E Ireland Rd

South Bend, IN 466142845

Phone: 5746471700

900 I St

La Porte, IN 463505533

Phone: 2193241700

2235 Cleveland Rd

South Bend, IN 466283529

Phone: 5746474530

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners

Caitlin Vlaeminck

Nurse Practitioner - Family

NPI 1083919161

Dr. Ethan Wren , DO

Orthopaedic Surgery

NPI 1124487301

Doctor of Osteopathic Medicine (D.O.)

Dr. Jared Vogler , DO

Orthopaedic Surgery

NPI 1164560108

Doctor of Osteopathic Medicine (D.O.)

Tyne Simpson , FNP

Nurse Practitioner - Family

NPI 1184142721

Family Nurse Practitioner

Marcy Floyd , FNP-C

Nurse Practitioner

NPI 1215623301

Family Nurse Practitioner (Certified)

Melissa Demetriou , FNP

Nurse Practitioner - Family

NPI 1225551591

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events

📍

Updated Practice Location December 30, 2019

Registered at 100 NAVARRE PL STE 4440, SOUTH BEND, IN 466011171 (Tel: 5746475300)

📍

Updated Practice Location March 01, 2019

Registered at 100 NAVARRE PL STE 5500, SOUTH BEND, IN 466011172 (Tel: 5746475300)

📍

Updated Practice Location July 02, 2018

Registered at 7300 N CANTON CENTER RD, CANTON, MI 48187 (Tel: 7344548001)

📍

Updated Business Mailing Address July 02, 2018

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Orthopaedic Surgery (License #01079875A in IN)

✅

NPI Profile Active October 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location October 16, 2017

Registered at 7300 N CANTON CENTER RD, CANTON, MI 481871579 (Tel: 7344548001)

📍

Updated Business Mailing Address October 16, 2017

Registered at 15500 LUNDY PKWY, DEARBORN, MI 48126 (Tel: 3135865011)

👤

Provider Name / Credentials Updated October 16, 2017

Recorded as GREGG EBERSOLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2017

Orthopaedic Surgery (License #4301112114 in MI)

✅

NPI Profile Active June 15, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location June 15, 2011

Registered at 3635 VISTA AVE, SAINT LOUIS, MO 631102539 (Tel: 3145778317)

📍

Updated Business Mailing Address June 15, 2011

Registered at 1226 OLIVE ST, APT 902, SAINT LOUIS, MO 631032476 (Tel: 8154417980)

👤

Provider Name / Credentials Updated June 15, 2011

Recorded as GREGG EBERSOLE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2011

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration June 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093000366

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2011

Last Update: April 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

710 N Niles Ave

South Bend, IN 466171924

Phone: 5746471610

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.