DONALD PHILIP STICKNEY M.D.
NPI 1427059815
Orthopaedic Surgery in Rushville, IN

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
110 E 13TH ST, RUSHVILLE, IN 46173(765) 932-7063(765) 932-7065 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 19, 2025, Jan 3, 2022, Feb 3, 2021 and 2 more (5 updates tracked since 2017).

About Donald Philip Stickney M.d. NPPES

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

DONALD PHILIP STICKNEY M.D. (NPI 1427059815) is an individual orthopaedic surgery provider in Rushville, Indiana, licensed in Indiana (01094893A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Rush Memorial Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427059815
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDONALD PHILIP STICKNEYCredential: M.D.
Location Address110 E 13TH STRushville, IN 46173-2126
Mailing Address1300 N Main StRushville, IN 46173-1198 · (765) 932-4111 · Fax (765) 932-7505
Fax(765) 932-7065
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 9, 2005
Last NPPES UpdateFebruary 19, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1427059815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IN · 01094893A Licensed in OH · 35071425
Definition
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.
110 E 13TH ST, Rushville, IN 46173

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

Donald Philip Stickney 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 ID3779488077
PECOS Enrollment IDI20241129000447
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 12

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, 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.
135 services28 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.
111 services65 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
68 services61 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services40 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.
47 services47 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
41 services34 patients

Hospital Affiliations CMS Care Compare

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

Rush Memorial Hospital

Critical Access Hospitals · Rushville, IN
OwnershipGovernment - Local
CMS Certification Number151304
Location1300 N Main StRushville, IN 46173 · Rush County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46173 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 11

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

Physician Assistant
110 E 13TH ST
RUSHVILLE, IN 46173
Internal Medicine (Rheumatology)
110 E 13TH ST
RUSHVILLE, IN 46173
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
110 E 13TH ST
RUSHVILLE, IN 46173
Otolaryngology
110 E 13TH ST
RUSHVILLE, IN 46173
Internal Medicine (Rheumatology)
110 E 13TH ST
RUSHVILLE, IN 46173
Podiatrist
110 E 13TH ST
RUSHVILLE, IN 46173
Orthopaedic Surgery
110 E 13TH ST
RUSHVILLE, IN 46173
Anesthesiology (Pain Medicine)
110 E 13TH ST
RUSHVILLE, IN 46173

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 Donald Stickney's NPI number?

The NPI number for Donald Stickney is 1427059815. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Donald Stickney located?

Donald Stickney practices at 110 E 13th St, Rushville, IN 46173. The listed phone number is (765) 932-7063.

What is Donald Stickney's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Donald Stickney enrolled in Medicare?

Yes. Donald Stickney 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 Donald Stickney accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Donald Stickney 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 Donald Stickney affiliated with any hospitals?

According to CMS data, Donald Stickney is affiliated with Rush Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Donald Stickney was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.