DR. ETHAN BERNELL DALLEY M.D. NPI 1780818112

NPI Details

DR. Ethan Bernell Dalley, M.D. is a pain medicine physical medicine rehabilitation in Lubbock, TX with 17 years of experience. The provider is 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. DR. Ethan Bernell Dalley, M.D. NPI is 1780818112. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

3419 22ND ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 796-3000
Fax: (806) 796-3006

The NPI 1780818112 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
• Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml (HCPCS:Q9966)
• Injection, midazolam hydrochloride, per 1 mg (HCPCS:J2250)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
• Injection, methylprednisolone acetate, 80 mg (HCPCS:J1040)
• Injection, fentanyl citrate, 0.1 mg (HCPCS:J3010)
• Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0482)
• Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
• Nerve conduction, 9-10 studies (HCPCS:95911)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Testing of autonomic (sympathetic) nervous system function (HCPCS:95923)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• Electronic analysis reprogramming and refill of spinal canal drug infusion pump (HCPCS:62369)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
• Insertion of spinal neurostimulator electrode array through skin (HCPCS:63650)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64633)
• Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64634)
• Nerve conduction, 5-6 studies (HCPCS:95909)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
• Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level (HCPCS:64484)
• Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)

The enumeration date for this NPI number is 5/13/2009 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: