MR. DWAYNE EPPY PA-C
NPI 1720408420
Physician Assistant - Surgical in Philadelphia, PA

Active since April 21, 2014PECOS EnrolledAccepts Medicare Assignment
111 S 11TH ST, PHILADELPHIA, PA 19107(267) 752-2690 Get Directions Write a Review

NPPES record last updated: April 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dwayne Eppy Pa-c NPPES

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

MR. DWAYNE EPPY PA-C (NPI 1720408420) is an individual surgical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA055385) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1720408420
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DWAYNE EPPYCredential: PA-C
Location Address111 S 11TH STPhiladelphia, PA 19107-4824
Mailing Address111 S 11th StPhiladelphia, PA 19107-4824 · (267) 752-2690
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateApril 21, 2014
NPI 1720408420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in PA · MA055385
111 S 11TH ST, Philadelphia, PA 19107

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

Mr. Dwayne Eppy Pa-c 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 ID2567729627
PECOS Enrollment IDI20171127002937
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.

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Dwayne Eppy's NPI number?

The NPI number for Dwayne Eppy is 1720408420. It was assigned to this individual provider in the NPPES registry on April 21, 2014.

Where is Dwayne Eppy located?

Dwayne Eppy practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (267) 752-2690.

What is Dwayne Eppy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Dwayne Eppy enrolled in Medicare?

Yes. Dwayne Eppy 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.

Is Dwayne Eppy affiliated with any hospitals?

According to CMS data, Dwayne Eppy is affiliated with Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Dwayne Eppy was last updated on April 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.