DR. THOMAS P EBINGER M.D.
NPI 1326201468
Orthopaedic Surgery - Hand Surgery in North Liberty, IA

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
90.65/100
CMS Quality Rating
2301 STEINDLER WAY STE B, NORTH LIBERTY, IA 52317(319) 338-3606(319) 338-0522 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2025, Oct 21, 2022 (2 updates tracked since 2022).

About Dr. Thomas P Ebinger M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THOMAS P EBINGER M.D. (NPI 1326201468) is an individual hand surgery provider in North Liberty, Iowa, licensed in Iowa (41187) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2008).

NPPES Registry Identity

NPI1326201468
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. THOMAS P EBINGERCredential: M.D.
Location Address2301 STEINDLER WAY STE BNorth Liberty, IA 52317-7907
Mailing Address2301 Steindler Way Ste BNorth Liberty, IA 52317-7907 · (319) 338-3606 · Fax (319) 338-0522
Fax(319) 338-0522
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2008
Enumeration DateJuly 9, 2008
Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration
NPPES CertifiedMarch 28, 2025
NPI 1326201468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in IA · 41187
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 41187 (IA)
2301 STEINDLER WAY STE B, North Liberty, IA 52317

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas P Ebinger M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991945263
PECOS Enrollment IDI20140626000066
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
228 services88 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
200 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This 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.
137 services137 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
129 services113 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
113 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Iowa Health Care Medical Center Down

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160029
Location500 E Market StreetIowa City, IA 52245 · Johnson County
Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

University Of Iowa Hospital & Clinics

Acute Care Hospitals · Iowa City, IA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number160058
Location200 Hawkins DriveIowa City, IA 52242 · Johnson County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA
OwnershipGovernment - Local
CMS Certification Number161356
Location407 S White StMount Pleasant, IA 52641 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52317 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability89
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%2,843 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
97%565 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%2,137 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
88%1,596 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,361 patients5/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
65%495 patients3/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 72% · 447 patients
Patients tobacco: 72% · 447 patients
93%41 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%1,596 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
68%1,596 patients5/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 522 patients
0%522 patients5/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 2% · 146 patients
Patients physicalActivity: 18% · 146 patients
100%146 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3906
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$263.52 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier46 claims56 services$41.80 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier13 claims16 services$66.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Podiatrist (Foot & Ankle Surgery)
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Orthopaedic Surgery (Sports Medicine)
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Physical Therapist
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Physical Medicine & Rehabilitation
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Specialist
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Orthopaedic Surgery (Hand Surgery)
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317
Physician Assistant
2301 STEINDLER WAY STE B
NORTH LIBERTY, IA 52317

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ebinger's NPI number?

The NPI number for Thomas Ebinger is 1326201468. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Thomas Ebinger located?

Thomas Ebinger practices at 2301 Steindler Way Ste B, North Liberty, IA 52317. The listed phone number is (319) 338-3606.

What is Thomas Ebinger's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Thomas Ebinger enrolled in Medicare?

Yes. Thomas Ebinger is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Ebinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Thomas Ebinger as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Ebinger affiliated with any hospitals?

According to CMS data, Thomas Ebinger is affiliated with University Of Iowa Health Care Medical Center Down, Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics, Mercy Medical Center - Cedar Rapids and Henry County Health Center.

When was this NPI record last updated?

The NPPES record for Thomas Ebinger was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.