1. Home
  2. Directory
  3. Ohio
  4. Sidney
  5. Physician Assistant
  6. NPI Profile

ERIC DAVID VANFOSSEN PA-C
NPI 1083754287
Physician Assistant - Medical in Sidney, OH

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
1205 FAIRINGTON DR, SIDNEY, OH 45365(937) 492-8431 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eric David Vanfossen Pa-c NPPES

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

ERIC DAVID VANFOSSEN PA-C (NPI 1083754287) is an individual medical provider in Sidney, Ohio, licensed in Ohio (0805) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1083754287
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameERIC DAVID VANFOSSENCredential: PA-C
Location Address1205 FAIRINGTON DRSidney, OH 45365-8144
Mailing Address21039 Geyer DrWapakoneta, OH 45895-8815 · (937) 596-5386
Phone(937) 492-8431
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateFebruary 7, 2007
Last NPPES UpdateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
✔ NPI 1083754287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 0805
1205 FAIRINGTON DR, Sidney, OH 45365
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include MedMutual.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

Eric David Vanfossen 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 ID3375670540
PECOS Enrollment IDI20100420000345
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

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.

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.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%6,319 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
33%419 patients2/55-star benchmark: 88%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims19 services$5.91 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$36.30 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. THERESA KAY EDWARDS APRN-CNP
Nurse Practitioner (Gerontology)
1205 FAIRINGTON DR
SIDNEY, OH 45365
Shelby County (937) 492-8431
STEPHEN JUSTICE MD
Family Medicine
1205 FAIRINGTON DR
SIDNEY, OH 45365
Shelby County (937) 492-8431
PRIMECARE PHYSICIANS OF WEST CENTRAL OHIO, INC
General Practice
1205 FAIRINGTON DR
SIDNEY, OH 45365
Shelby County (937) 492-8431
KENNETH BOSSLET D.O.
Family Medicine
1205 FAIRINGTON DR
SIDNEY, OH 45365
Shelby County (937) 492-8431

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 Eric Vanfossen's NPI number?

The NPI number for Eric Vanfossen is 1083754287. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is Eric Vanfossen located?

Eric Vanfossen practices at 1205 Fairington Dr, Sidney, OH 45365. The listed phone number is (937) 492-8431.

What is Eric Vanfossen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eric Vanfossen enrolled in Medicare?

Yes. Eric Vanfossen 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 Eric Vanfossen accept?

Health plans from MedMutual list Eric Vanfossen 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 Eric Vanfossen affiliated with any hospitals?

According to CMS data, Eric Vanfossen is affiliated with Wilson Memorial Hospital and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Vanfossen was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.