Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES MICHAEL DANIAS D.O.
NPI 1649534256
Orthopaedic Surgery in Fort Wayne, IN

Q: What is James Danias's NPI number?

The NPI number for James Danias is 1649534256. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Q: What is James Danias'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 James Danias was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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 June 28, 2012PECOS Enrolled

100/100

CMS Quality Rating

5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: November 4, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 4, 2026, Oct 22, 2018 (2 updates tracked since 2018).

On this page

About James Michael Danias D.o. NPPES

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

JAMES MICHAEL DANIAS D.O. (NPI 1649534256) is an individual orthopaedic surgery provider in Fort Wayne, Indiana, licensed in Indiana (02005325A) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1649534256

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJAMES MICHAEL DANIASCredential: D.O.

Location Address5050 N CLINTON STFort Wayne, IN 46825-5886

Mailing Address5050 N Clinton StFort Wayne, IN 46825-5822 · (260) 484-8551 · Fax (260) 482-5060

Phone(260) 484-8551

Fax(260) 482-5060

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012

Enumeration DateJune 28, 2012

Last NPPES UpdateNovember 4, 20262 updates tracked since enumeration

NPPES CertifiedNovember 4, 2026

✔ NPI 1649534256 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 · 02005325A✔ Licensed in MI · 5101019928

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.

5050 N CLINTON ST, Fort Wayne, IN 46825

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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

James Michael Danias D.o. 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 ID8224358239

PECOS Enrollment IDI20180712002361

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 Reassignment

Medicare enrollment records show James Danias reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedics Northeast PC

Same address

Orthopaedic Surgery

5050 N CLINTON ST
Fort Wayne, IN 46825

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

NPI 1740268796 (260) 484-8551

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 14

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.

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.

87 services57 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.

85 services69 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

36 services21 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.

33 services31 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

32 services32 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

32 services32 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

28 services17 patients

X-ray of upper arm, minimum of 2 views 73060

An X-ray of the upper arm with a minimum of 2 views involves capturing images of your arm from different angles. This helps in assessing the bones and surrounding tissues for any abnormalities or injuries. It's a quick, painless procedure.

23 services12 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.

21 services15 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

20 services20 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

19 services18 patients

X-ray of hip, 2-3 views 73502

19 services16 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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Huntington Hospital

Acute Care Hospitals · Huntington, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150091

Location2001 Stults RdHuntington, IN 46750 · Huntington County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Orthopaedic Hospital At Parkview North

Acute Care Hospitals · Fort Wayne, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150167

Location11130 Parkview Circle DrFort Wayne, IN 46845 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

e-Prescribing

99%106 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%342 patients5/55-star benchmark: 100%

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.

ANTHONY DZIGBORDI

Nurse Anesthetist, Certified Registered

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

ABIGAIL MCKENSEY GANN PA

Physician Assistant

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

CORY ROBERT GALL DO

Orthopaedic Surgery

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

LISA A TOMPA CRNA

Nurse Anesthetist, Certified Registered

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

NATHAN NOTTER P.T.

Physical Therapist

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 471-6202

MR. CRAIG A DYER ATC

Specialist/Technologist (Athletic Trainer)

5050 N CLINTON ST
FT WAYNE, IN 46825

Allen County (260) 484-8551

SARAH ANNE LASALLE D.O.

Anesthesiology

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

FELICIA WEHRLE

Nurse Practitioner

5050 N CLINTON ST
FORT WAYNE, IN 46825

Allen County (260) 484-8551

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 James Danias's NPI number?

The NPI number for James Danias is 1649534256. It was assigned to this individual provider in the NPPES registry on June 28, 2012.

Where is James Danias located?

James Danias practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.

What is James Danias's specialty?

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

Is James Danias enrolled in Medicare?

Yes. James Danias 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.

Which organization bills Medicare for James Danias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Danias reassigns Medicare benefits to Orthopaedics Northeast PC (Fort Wayne, IN). The 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 James Danias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Danias accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list James Danias 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 James Danias affiliated with any hospitals?

According to CMS data, James Danias is affiliated with Parkview Regional Medical Center, Parkview Huntington Hospital, Parkview Whitley Hospital, Parkview Noble Hospital and Orthopaedic Hospital At Parkview North.

When was this NPI record last updated?

The NPPES record for James Danias was last updated on November 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.