ANTHONY A MCPHERRON DO
NPI 1487645990
Orthopaedic Surgery in Muncie, IN

Active since November 03, 2005PECOS EnrolledAccepts Medicare Assignment
63.63/100
CMS Quality Rating
2701 W NORTH ST, MUNCIE, IN 47303(765) 751-5340(317) 222-2198 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2025, Mar 27, 2025, Oct 2, 2023 and 4 more (7 updates tracked since 2017).

About Anthony A Mcpherron Do NPPES

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

ANTHONY A MCPHERRON DO (NPI 1487645990) is an individual orthopaedic surgery provider in Muncie, Indiana, licensed in Indiana (02002167A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Ball Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487645990
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANTHONY A MCPHERRONCredential: DO
Location Address2701 W NORTH STMuncie, IN 47303-3415
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(317) 222-2198
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1994
Enumeration DateNovember 3, 2005
Last NPPES UpdateJune 30, 20257 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1487645990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 02002167A
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.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 02002167 (IN), 0102203565 (VA), 2017-00062 (NC)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 02002167A (IN)
2701 W NORTH ST, Muncie, IN 47303

Secondary Practice Locations 2

Location 180 Healthcare Dr Ste 203Sylva, NC 28779-5146 · Phone (828) 586-5531 · Fax (828) 586-5759
Location 22800 Rex Grossman BlvdBloomington, IN 47403-5145 · Phone (317) 944-9400 · Fax (317) 963-1955

Other Identifiers 4

Medicaid207X00000XNC
Medicaid300078947IN
Medicaid207XS0114XNC
Medicaid1487645990VA

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

Anthony A Mcpherron Do 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 ID1456312214
PECOS Enrollment IDI20041025000663
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

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.

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

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Indiana University Health Jay, Inc.

Critical Access Hospitals · Portland, IN
OwnershipGovernment - Local
CMS Certification Number151320
Location500 W Votaw StPortland, IN 47371 · Jay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47303 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.

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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%269 patients2/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
33%463 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
8%24 patients1/55-star benchmark: 100%
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%2,059 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%471 patients4/55-star benchmark: 99%
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
19%329 patients1/55-star benchmark: 99%
Functional Status Assessment for Total Knee Replacement
Percentage of patients 18 years of age and older who received an elective primary total knee arthroplasty (TKA) who completed baseline and follow-up patient-reported and completed a functional status assessment within 90 days prior to the surgery and in the…
8%25 patients1/55-star benchmark: 84%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
52%881 patients3/55-star benchmark: 88%
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.
98%664 patients4/55-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.
47%1,144 patients2/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
34%331 patients2/55-star benchmark: 90%
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…
25%942 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
9%851 patients1/55-star benchmark: 96%
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: 99% · 439 patients
82%439 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…
100%1,144 patients5/55-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…
14%1,144 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%1,144 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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers15 claims15 services$68.41 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers26 claims26 services$7.79 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier15 claims15 services$68.08 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 8

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

Internal Medicine (Nephrology)
2701 W NORTH ST, SUITE B
MUNCIE, IN 47303
Specialist/Technologist (Athletic Trainer)
2701 W NORTH ST
MUNCIE, IN 47303
Internal Medicine (Nephrology)
2701 W NORTH ST, SUITE C
MUNCIE, IN 47303
Internal Medicine (Infectious Disease)
2701 W NORTH ST
MUNCIE, IN 47303
Family Medicine (Sports Medicine)
2701 W NORTH ST
MUNCIE, IN 47303
Internal Medicine
2701 W NORTH ST
MUNCIE, IN 47303
Emergency Medicine (Sports Medicine)
2701 W NORTH ST
MUNCIE, IN 47303
Internal Medicine
2701 W NORTH ST
MUNCIE, IN 47303

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 Anthony Mcpherron's NPI number?

The NPI number for Anthony Mcpherron is 1487645990. It was assigned to this individual provider in the NPPES registry on November 3, 2005.

Where is Anthony Mcpherron located?

Anthony Mcpherron practices at 2701 W North St, Muncie, IN 47303. The listed phone number is (765) 751-5340.

What is Anthony Mcpherron's specialty?

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

Is Anthony Mcpherron enrolled in Medicare?

Yes. Anthony Mcpherron 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 Anthony Mcpherron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Anthony Mcpherron 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 Anthony Mcpherron affiliated with any hospitals?

According to CMS data, Anthony Mcpherron is affiliated with Indiana University Health Ball Memorial Hospital and Indiana University Health Jay, Inc..

When was this NPI record last updated?

The NPPES record for Anthony Mcpherron was last updated on June 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.