DESTINY ETHERIDGE MD
NPI 1871099002
Family Medicine in Indianapolis, IN

Active since April 05, 2018PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
8820 S MERIDIAN ST STE 120, INDIANAPOLIS, IN 46217(317) 865-6700 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2026, Aug 8, 2022, Sep 29, 2021 and 4 more (7 updates tracked since 2018).

About Destiny Etheridge Md NPPES

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

DESTINY ETHERIDGE MD (NPI 1871099002) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01085265A) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1871099002
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDESTINY ETHERIDGECredential: MD
Location Address8820 S MERIDIAN ST STE 120Indianapolis, IN 46217-6057
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 5, 2018
Last NPPES UpdateJuly 13, 20267 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1871099002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01085265A✔ Licensed in KY · 55932✔ Licensed in KY · TP282
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 55932 (KY)
8820 S MERIDIAN ST STE 120, Indianapolis, IN 46217

Other Names 1

Former Name (1)Destiny Danielle Spence

Secondary Practice Location 1

Location 11720 W Broadway Ste 107Louisville, KY 40203-3607 · Phone (502) 340-5900

Other Identifiers 2

Medicaid300068968IN
Other1104334448IN · Anthem Ptan

Accepted 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

Destiny Etheridge Md 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 ID2062768468
PECOS Enrollment IDI20210820001480, I20260513001329
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

2

Medicare enrollment records show Destiny Etheridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Multi-Specialty
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group

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 8

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.

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.
190 services83 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
87 services57 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
80 services40 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 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.
26 services21 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services19 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

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46217 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
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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

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.

Pharmacist
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Nurse Practitioner (Family)
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Nurse Practitioner (Family)
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Otolaryngology
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Nurse Practitioner (Family)
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Family Medicine
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Nurse Practitioner (Family)
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217
Family Medicine
8820 S MERIDIAN ST STE 120
INDIANAPOLIS, IN 46217

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 Destiny Etheridge's NPI number?

The NPI number for Destiny Etheridge is 1871099002. It was assigned to this individual provider in the NPPES registry on April 5, 2018. The provider is also known as Destiny Danielle Spence.

Where is Destiny Etheridge located?

Destiny Etheridge practices at 8820 S Meridian St Ste 120, Indianapolis, IN 46217. The listed phone number is (317) 865-6700.

What is Destiny Etheridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Destiny Etheridge enrolled in Medicare?

Yes. Destiny Etheridge 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 organizations bill Medicare for Destiny Etheridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Destiny Etheridge reassigns Medicare benefits to 2 organizations: Iu Health Medical Group, LLC (Indianapolis, IN) and Community Medical Associates, Inc. (Louisville, KY). 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 Destiny Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Destiny Etheridge accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Destiny Etheridge 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 Destiny Etheridge affiliated with any hospitals?

According to CMS data, Destiny Etheridge is affiliated with Indiana University Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Destiny Etheridge was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.