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

Q: 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.

Q: What is Donald Stickney's specialty?

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

Q: 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 20 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.

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: November 08, 2026.

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

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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 Reid Health, 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

Phone(765) 932-7063

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Donald Stickney reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rush Memorial Hospital

0.1 mi

Critical Access

1300 N MAIN ST
Rushville, IN 46173

Reassigned Medicare billing, Indiana enrollment
93 clinicians in this Medicare group

NPI 1497726020 (765) 932-7420

Major Multispecialty Associates

19 mi

Internal Medicine

2451 INTELLIPLEX DR
Shelbyville, IN 46176

Reassigned Medicare billing, Indiana enrollment
73 clinicians in this Medicare group

NPI 1437398492 (317) 392-3211

Ashtabula County Medical Center

289 mi

General Acute Care Hospital

2420 LAKE AVE
Ashtabula, OH 44004

Reassigned Medicare billing, Ohio enrollment
177 clinicians in this Medicare group

NPI 1285607416 (440) 997-2262

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

34 services24 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

24 services23 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

18 services15 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

14 services14 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.

14 services14 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Reid Health

Acute Care Hospitals · Richmond, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150048

Location1100 Reid PkwyRichmond, IN 47374 · Wayne County

Emergency services Birthing friendly

Major Hospital

Acute Care Hospitals · Shelbyville, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150097

Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County

Emergency services Birthing friendly

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.

BRYAN RICHARD DAVIDSON PA-C

Physician Assistant