EBBA K. EBBA M.D
NPI 1609857341
Pediatrics in Fort Defiance, AZ

Q: What is Ebba Ebba's NPI number?

The NPI number for Ebba Ebba is 1609857341. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Q: What is Ebba Ebba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ebba Ebba was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 09, 2005PECOS Enrolled

CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504(928) 729-8000 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 4, 2026, May 13, 2025, Apr 26, 2024 and 4 more (7 updates tracked since 2017).

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About Ebba K. Ebba M.d NPPES

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

EBBA K. EBBA M.D (NPI 1609857341) is an individual pediatrics provider in Fort Defiance, Arizona, licensed in Georgia (36724) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609857341

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEBBA K. EBBACredential: M.D

Location AddressCORNER OF ROUTE N12 AND N7Fort Defiance, AZ 86504-0649

Mailing AddressPo Box 649Fort Defiance, AZ 86504-0649

Phone(928) 729-8000

Sole ProprietorNo

Enumeration DateNovember 9, 2005

Last NPPES UpdateAugust 4, 20267 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1609857341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in GA · 36724✔ Licensed in KY · 50869✔ Licensed in WV · 32946✔ Licensed in KY · TP229✔ Licensed in AL · 25659

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CORNER OF ROUTE N12 AND N7, Fort Defiance, AZ 86504

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 (PECOS)

Ebba K. Ebba M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Ebba Ebba reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Fort Defiance Indian Hospital Board, Incorporation

3.8 mi

General Acute Care Hospital

CORNER OF ROUTE N12 & N7
Fort Defiance, AZ 86504

Reassigned Medicare billing, Texas enrollment
518 clinicians in this Medicare group

NPI 1477876639 (928) 729-8000

Morehouse Healthcare, Inc.

1,406 mi

Cardiovascular Disease

1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318

Reassigned Medicare billing, Georgia enrollment
322 clinicians in this Medicare group

NPI 1801832324 (404) 752-1000

Phoebe Gastroenterology Associates

1,456 mi

Clinic/Center

2740 RAY KNIGHT WAY, STE 100
Albany, GA 31707

Reassigned Medicare billing, Georgia enrollment
Medicare enrollment name: Phoebe Physician Group Inc
1,118 clinicians in this Medicare group

NPI 1659627131 (229) 312-0669

Davis Memorial Hospital

1,618 mi

General Acute Care Hospital

812 GORMAN AVE
Elkins, WV 26241

Reassigned Medicare billing, West Virginia enrollment
246 clinicians in this Medicare group

NPI 1619964806 (304) 636-3300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86504 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

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.

Reported Quality Measures

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%61 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.

50%103 patients3/55-star benchmark: 97%

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%103 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…

2%103 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.

36%103 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.

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.

DR. ROMULO LAURETA PARUNGAO M.D.

Emergency Medicine

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8600

CHARLES EATON PAGE

Emergency Medicine

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

JAY S GUIKEMA FNP

Nurse Practitioner (Family)

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

MARIBEL PASTRAN RD, CD

Dietitian, Registered

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

PONY NANCY SOKIRI PA-C

Physician Assistant

CORNER OF ROUTE N12 AND N7, CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

SARAH R WILLIAMS PT

Physical Therapist

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

JOHN NORBERT

Family Medicine

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

DR. LINDA BROWN TRUDEL MD

Family Medicine

CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504

Apache County (928) 729-8000

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 Ebba Ebba's NPI number?

The NPI number for Ebba Ebba is 1609857341. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Ebba Ebba located?

Ebba Ebba practices at Corner Of Route N12 And N7, Fort Defiance, AZ 86504. The listed phone number is (928) 729-8000.

What is Ebba Ebba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ebba Ebba enrolled in Medicare?

Yes. Ebba Ebba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ebba Ebba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebba Ebba reassigns Medicare benefits to 4 organizations: The Fort Defiance Indian Hospital Board, Incorporation (Fort Defiance, AZ), Morehouse Healthcare, Inc. (Atlanta, GA), Phoebe Gastroenterology Associates (Albany, GA) and Davis Memorial Hospital (Elkins, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebba Ebba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ebba Ebba accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Ebba Ebba 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.

When was this NPI record last updated?

The NPPES record for Ebba Ebba was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.