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Deactivated NPI 1851884506 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Ebert , DO

Family Medicine • Corvallis, OR

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Daniel Ebert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 07, 2018
NPI Deactivation Date April 03, 2019
Total Practice Duration ~1 Years of Practice (2019 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Ebert, DO was a registered Family Medicine in Corvallis, OR. Prior to record deactivation on 2019-04-03, Dr. Ebert completed approximately 1 years of clinical practice following graduation from Touro Un Col Of Osteopathic Medicine, New York in 2019.

Dr. Ebert maintained professional affiliations with Mid-Valley Healthcare Inc, Good Samaritan Hospital Corvallis, Albany General Hospital and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5234 Sw Philomath Blvd

Corvallis, OR 973331042

Telephone 5417684970
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Touro Un Col Of Osteopathic Medicine, New York

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Family Medicine in Corvallis, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -8.5 yrs vs City Avg
City Avg: 15.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
115 Specialists

Practicing in Corvallis, OR (2953 Statewide)

Telehealth Adoption Rate
15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ebert (7 Years) 7 Yrs
Corvallis Specialty Average (15.5 Years) 15.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes
131 121 $97.10 $63.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
93 90 $142.26 $94.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 23 $140.00 $93.27
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
22 21 $29.00 $7.76
99213 Established patient office or other outpatient visit, typically 15 minutes
17 16 $96.00 $63.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $118.00 $80.62
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
13 11 $45.00 $15.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $176.00 $128.02

Medical Specialties & State Licenses

CMS Verified: 2022-09-16
Family Medicine Primary Specialty

NUCC Taxonomy Code: 207Q00000X

State License OR PG194181

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

Good Samaritan Hospital Corvallis

5234 Sw Philomath Blvd, Corvallis, OR 973331042

Phone: 5417572585

Mid-Valley Healthcare Inc

400 N Santiam Hwy, Lebanon, OR 97355

Phone: 5414516388

Mid-Valley Healthcare Inc

646 Holley Rd, Sweet Home, OR 973863344

Phone: 5414516272

Good Samaritan Hospital Corvallis

5234 Sw Philomath Blvd, Corvallis, OR 973331042

Phone: 5417684970

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Phone: 5417681261

Albany General Hospital

534 Pleasant View Way Nw, Albany, OR 973211700

Mid-Valley Healthcare Inc

679 Main St, Sweet Home, OR 973863305

Phone: 5414516250

Albany General Hospital

705 Elm St Sw, Albany, OR 973211957

Phone: 5418124850

Good Samaritan Hospital Corvallis

3600 Nw Samaritan Dr, Corvallis, OR 973303737

Good Samaritan Hospital Corvallis

3517 Nw Samaritan Dr, Corvallis, OR 973303769

Phone: 5417685142

Mid-Valley Healthcare Inc

679 Main St, Sweet Home, OR 973863305

Phone: 5414516250

Albany General Hospital

400 Hickory St Nw, Albany, OR 973211700

Albany General Hospital

1700 Geary St Se, Albany, OR 973226842

Secondary Practice Locations

3600 Nw Samaritan Dr

Corvallis, OR 973303737

Phone: 5417684906

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Brent Wesenberg , MD

Emergency Medicine

NPI 1073560876

Doctor of Medicine (M.D.)

Dr. Janet Chang , DO

Family Medicine

NPI 1073593422

Doctor of Osteopathic Medicine (D.O.)

Nancy Vanasche , MSN, FNP-C

Nurse Practitioner - Family

NPI 1205872298

Master of Science in Nursing, Family Nurse Practitioner (Certified)

Courtney Strand , RNP

Nurse Practitioner - Family

NPI 1316024623
Rachel Blumel , PA-C

Physician Assistant

NPI 1366108227

Physician Assistant (Certified)

William Wright , PA-C

Physician Assistant

NPI 1427018027

Physician Assistant (Certified)

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location September 16, 2022

Registered at 5234 SW PHILOMATH BLVD, CORVALLIS, OR 973331042 (Tel: 5417684970)

📍
Updated Business Mailing Address September 16, 2022

Registered at PO BOX 1189, CORVALLIS, OR 973391189

📍
Updated Practice Location June 18, 2019

Registered at 3600 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417684906)

📍
Updated Business Mailing Address June 18, 2019

Registered at 3600 NW SAMARITAN DR, CORVALLIS, OR 973303737 (Tel: 5417684906)

👤
Provider Name / Credentials Updated June 18, 2019

Recorded as DANIEL EBERT, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Family Medicine (License #PG194181 in OR)

📍
Updated Practice Location May 01, 2019

Registered at 17 BRICK POND RD, MIDDLETOWN, NY 109404260 (Tel: 5105857248)

📍
Updated Business Mailing Address May 01, 2019

Registered at 17 BRICK POND RD, MIDDLETOWN, NY 109404260

👤
Provider Name / Credentials Updated May 01, 2019

Recorded as DANIEL EBERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2019

Student in an Organized Health Care Education/Training Program

⚠️
NPI Profile Deactivated April 03, 2019

Record deactivated on April 03, 2019

NPI Profile Active June 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2018

Registered at 17 BRICK POND RD, MIDDLETOWN, NY 109404260 (Tel: 5105857248)

📍
Updated Business Mailing Address June 07, 2018

Registered at 17 BRICK POND RD, MIDDLETOWN, NY 109404260

👤
Provider Name / Credentials Updated June 07, 2018

Recorded as DANIEL EBERT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 07, 2018

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: 1851884506
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2018
Last Update: September 16, 2022
Deactivation Date: April 03, 2019
Sole Proprietor: No

Mailing Address

Po Box 1189

Corvallis, OR 973391189

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.