DR. ETHAN BERNELL DALLEY M.D.
NPI 1780818112
Physical Medicine & Rehabilitation - Pain Medicine in Lubbock, TX

Active since May 13, 2009PECOS EnrolledAccepts Medicare Assignment
3419 22ND ST, LUBBOCK, TX 79410(806) 796-3000(806) 796-3006 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Apr 22, 2019, Aug 20, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Ethan Bernell Dalley M.d. NPPES

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

DR. ETHAN BERNELL DALLEY M.D. (NPI 1780818112) is an individual pain medicine provider in Lubbock, Texas, licensed in Texas (P9063) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2009).

NPPES Registry Identity

NPI1780818112
Entity TypeIndividualMale
Primary Taxonomy2081P2900X
Provider Legal NameDR. ETHAN BERNELL DALLEYCredential: M.D.
Location Address3419 22ND STLubbock, TX 79410
Mailing Address3419 22nd StLubbock, TX 79410-1334 · (806) 796-3000 · Fax (806) 796-3006
Fax(806) 796-3006
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2009
Enumeration DateMay 13, 2009
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1780818112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License Licensed in TX · P9063
Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

3419 22ND ST, Lubbock, TX 79410

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Ethan Bernell Dalley 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 ID8729236377
PECOS Enrollment IDI20140730000502
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 40

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
402 services213 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
350 services34 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
269 services190 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
192 services186 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
112 services83 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.
112 services84 patients

Hospital Affiliations CMS Care Compare 5

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

Plains Regional Medical Center

Acute Care Hospitals · Clovis, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320022
Location2100 N Martin Luther King, Jr, BlvdClovis, NM 88101 · Curry County
Emergency services Birthing friendly

Covenant Health Hobbs Hospital

Acute Care Hospitals · Hobbs, NM
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320065
Location4900 N Lovington HighwayHobbs, NM 88240 · Lea County
Emergency services

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock 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.

Physician Assistant
3419 22ND ST
LUBBOCK, TX 79410
Anesthesiology (Pain Medicine)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Anesthetist, Certified Registered
3419 22ND ST
LUBBOCK, TX 79410
Pain Medicine (Interventional Pain Medicine)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410
Nurse Practitioner (Family)
3419 22ND ST
LUBBOCK, TX 79410

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 Ethan Dalley's NPI number?

The NPI number for Ethan Dalley is 1780818112. It was assigned to this individual provider in the NPPES registry on May 13, 2009.

Where is Ethan Dalley located?

Ethan Dalley practices at 3419 22nd St, Lubbock, TX 79410. The listed phone number is (806) 796-3000.

What is Ethan Dalley's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Ethan Dalley enrolled in Medicare?

Yes. Ethan Dalley 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 Ethan Dalley accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Ethan Dalley 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 Ethan Dalley affiliated with any hospitals?

According to CMS data, Ethan Dalley is affiliated with Plains Regional Medical Center, Covenant Health Hobbs Hospital, Covenant Medical Center, Grace Surgical Hospital and University Medical Center.

When was this NPI record last updated?

The NPPES record for Ethan Dalley was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.