Active NPI 1043649809 Individual Practitioner Male Practitioner

Daniel Etheridge , CRNA

Nurse Anesthetist, Certified Registered • Bowling Green, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Etheridge, CRNA is a certified Nurse Anesthetist, Certified Registered practicing in Bowling Green, KY. With approximately 13 years of clinical experience since completing medical education in 2013, Daniel Etheridge delivers high-quality medical care to the local community at 250 PARK ST.

Daniel Etheridge is affiliated with Commonwealth Health Corporation, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for lens surgery, anesthesia for procedure on large bowel using an endoscope, anesthesia for open procedure on bones of lower leg, ankle and foot. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

250 Park St

Bowling Green, KY 421011760

Telephone 2703931912

Fax 2703931913

Associated Practice Facility / Clinic

🏢 Anesthesia & Pain Specialists Of Bowling Green Plc Facility NPI 1548253107

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Anesthetist, Certified Registered in Bowling Green, KY

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +0.2 yrs vs City Avg

City Avg: 12.8 Yrs

State Avg: 18.8 Yrs

Regional Practice Density

83 Specialists

Practicing in Bowling Green, KY (1576 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

86.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Etheridge (13 Years) 13 Yrs

Bowling Green Specialty Average (12.8 Years) 12.8 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
00142 Anesthesia for lens surgery	60	56	$718.40	$100.96
00811 Anesthesia for procedure on large bowel using an endoscope	11	11	$965.45	$135.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	81	64	$727.70	$104.60
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	18	18	$1093.33	$166.83
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	18	17	$835.33	$127.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	15	15	$1698.40	$141.04
00812 Anesthesia for exam of colon using an endoscope	14	14	$1221.43	$111.83
00811 Anesthesia for procedure on large bowel using an endoscope	13	13	$1390.62	$132.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	15	15	$1420.00	$140.74
00811 Anesthesia for procedure on large bowel using an endoscope	14	14	$1446.86	$137.47
00812 Anesthesia for exam of colon using an endoscope	11	11	$1591.09	$108.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	61	54	$683.44	$114.47
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	20	20	$820.50	$140.83
00811 Anesthesia for procedure on large bowel using an endoscope	11	11	$817.27	$137.03
01922 Anesthesia for x-ray or radiation therapy	11	11	$1232.73	$211.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	52	51	$619.81	$112.18
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	25	25	$748.00	$137.20
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	23	$400.00	$31.65
00400 Anesthesia for procedure on skin of arms, legs, or trunk	15	15	$865.33	$160.07
00811 Anesthesia for procedure on large bowel using an endoscope	14	14	$667.86	$120.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	74	73	$515.96	$113.89
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	29	29	$227.59	$31.46
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	20	20	$1179.25	$269.52
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	18	18	$598.28	$132.24
01402 Anesthesia for procedure for total knee joint replacement	17	16	$1533.94	$355.53
64450 Injection of anesthetic agent, other peripheral nerve or branch	16	16	$445.00	$34.04
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	14	14	$450.00	$60.47
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	12	12	$623.00	$43.77
00811 Anesthesia for procedure on large bowel using an endoscope	12	12	$511.75	$114.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00142 Anesthesia for lens surgery	51	50	$542.73	$118.88
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	29	29	$586.17	$123.78
00810 Anesthesia for procedure on lower intestine using an endoscope	20	20	$671.95	$148.55
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	13	13	$1150.15	$262.85

Medical Specialties & State Licenses

Nurse Anesthetist, Certified Registered Primary Specialty

NUCC Taxonomy Code: 367500000X

State License KY 3008449

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License TN 155950

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7100275390 (KY)

Hospital & Practice Group Affiliations

Commonwealth Health Corporation, Inc.

250 Park St, Bowling Green, KY 421011760

Phone: 2707451111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Christian Kranz , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003052143

Certified Registered Nurse Anesthetist

Matthew Harmon , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013432434

Certified Registered Nurse Anesthetist

Cody Campbell , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023352465

Certified Registered Nurse Anesthetist

Brittany Sowders , APRN

Nurse Practitioner

NPI 1033595947

Advanced Practice Registered Nurse

Heather Childress , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043549454

Certified Registered Nurse Anesthetist

Dr. Robert Watson , MD

Anesthesiology

NPI 1053305599

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2017

Registered at 250 PARK ST, BOWLING GREEN, KY 421011760 (Tel: 2703931912)

📍

Updated Business Mailing Address January 27, 2017

Registered at 825 2ND AVE, SUITE C6, BOWLING GREEN, KY 421011786 (Tel: 2703931912)

👤

Provider Name / Credentials Updated January 27, 2017

Recorded as DANIEL ETHERIDGE, CRNA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Nurse Anesthetist, Certified Registered (License #3008449 in KY)

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 250 PARK ST, BOWLING GREEN, KY 421011760 (Tel: 2703931912)

📍

Updated Business Mailing Address September 08, 2016

Registered at 825 2ND AVE, SUITE C6, BOWLING GREEN, KY 421011786 (Tel: 2703931912)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as DANIEL ETHERIDGE, CRNA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Nurse Anesthetist, Certified Registered (License #3008449 in KY)

🟢

Initial NPI Registration & Enumeration November 02, 2013

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: 1043649809

Entity Type:

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

Enumeration Date: November 02, 2013

Last Update: January 27, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

825 2nd Ave, Suite C6

Bowling Green, KY 421011786

Phone: 2703931912

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.