DOUGLAS B EINSTEIN MD
NPI 1275563413
Radiology - Radiation Oncology in Kettering, OH

Q: What is Douglas Einstein's NPI number?

The NPI number for Douglas Einstein is 1275563413. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Douglas Einstein's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Einstein was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment

92.98/100

CMS Quality Rating

3120 GOVERNORS PLACE BLVD, KETTERING, OH 45409(937) 293-1622(937) 245-6308 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Jan 6, 2022, Dec 30, 2020 and 2 more (5 updates tracked since 2016).

On this page

About Douglas B Einstein Md NPPES

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

DOUGLAS B EINSTEIN MD (NPI 1275563413) is an individual radiation oncology provider in Kettering, Ohio, licensed in Ohio (35-079756) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1275563413

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDOUGLAS B EINSTEINCredential: MD

Location Address3120 GOVERNORS PLACE BLVDKettering, OH 45409-1328

Mailing Address6680 Poe Ave, Suite 200Dayton, OH 45414-2854 · (937) 280-8400 · Fax (937) 280-8373

Phone(937) 293-1622

Fax(937) 245-6308

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1996

Enumeration DateJuly 4, 2006

Last NPPES UpdateSeptember 5, 20245 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1275563413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in OH · 35-079756

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

3120 GOVERNORS PLACE BLVD, Kettering, OH 45409

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Secondary Practice Locations 5

Location 11111 Sweitzer St Ste CGreenville, OH 45331-1189 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 23130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 32300 Miami Valley Dr Ste 150Centerville, OH 45459-1294 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 49000 N Main St Ste G-37Englewood, OH 45415-1180 · Phone (937) 293-1622 · Fax (937) 245-6308

Location 5501 Atrium Dr Fl 1Middletown, OH 45005-5165 · Phone (937) 293-1622 · Fax (937) 245-6308

Other Identifiers 4

Medicaid2297205OH

Other920007226OH · Railroad Medicare

Other7100259OH · Aetna

OtherP00416767OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.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

Douglas B Einstein 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 ID6901848498

PECOS Enrollment IDI20050525000254

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 30

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967

Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.

10,000 services80 patients

Ct guidance for insertion of radiation therapy fields 77014

CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.

922 services220 patients

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015

Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulatingâ€”or controllingâ€”the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.

886 services208 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

286 services64 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

247 services94 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev G6013

This procedure involves using high-energy radiation to target and treat disease. It covers 3 or more distinct areas, using custom blocks to protect healthy tissue. Tangential ports, wedges, and rotational beams help direct the radiation. An electron beam of 11-19 million electron volts (mev) is used for deep-seated conditions.

241 services85 patients

Continuing radiation therapy consultation per week 77336

Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.

236 services68 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

221 services105 patients

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev G6012

Radiation therapy involves directing high-energy particles to destroy cancer cells. The technique targets 3 or more areas, using custom blocks for precise focus. Tangential ports, wedges, and rotational beams adjust the radiation's path, while compensators balance radiation dose. Electron beam therapy with 6-10 mev energy is used for deep-seated tumors.

197 services70 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

134 services79 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

82 services74 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

62 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

60 services60 patients

Special medical radiation therapy consultation 77370

A special medical radiation therapy consultation involves discussing the use of high-energy radiation to treat diseases, primarily cancer. It's a chance to understand the process, potential side effects, and benefits. It is a key step in planning your treatment.

59 services53 patients

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme G0340

This treatment uses high-precision radiation, guided by real-time imaging, to target tumors. A robotic linear accelerator shapes the radiation to match the tumor, reducing harm to healthy tissue. The treatment is spread over 2-5 sessions and is limited to 5 sessions per course.

56 services45 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

52 services45 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

46 services26 patients

Ct scan of abdomen and pelvis without contrast 74176

A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.

45 services44 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

45 services42 patients

Ct scan of chest with contrast 71260

A CT scan of the chest with contrast is an imaging procedure. A special dye (contrast) is used to highlight specific areas in your body, providing clearer pictures of your chest. This helps in diagnosing conditions related to your lungs, heart, and other chest structures.

37 services35 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

35 services33 patients

Ct scan of abdomen and pelvis with contrast 74177

A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.

30 services29 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

27 services24 patients

Ct scan of abdomen and pelvis before and after contrast 74178

A CT scan of your abdomen and pelvis with and without contrast helps visualize your internal organs better. Contrast is a special dye that improves the clarity of the images. It's taken orally or injected into your veins before the scan. The process is painless and quick.

26 services26 patients

Ct scan of chest without contrast 71250

A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.

25 services23 patients

Obtaining respiratory data needed to develop the optimal radiation treatment 77293

Obtaining respiratory data is vital for optimal radiation treatment. This involves tracking your breathing patterns to ensure the precise delivery of radiation to the target area, minimizing damage to healthy tissue. It's a non-invasive process and contributes to effective treatment.

25 services25 patients

Special radiation treatment 77470

Special radiation treatment is a medical procedure that uses high-energy rays to destroy or damage cancer cells. It's a targeted approach that aims to minimize harm to healthy tissues. The treatment duration varies based on individual health conditions.

25 services24 patients

Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment G0339

Image-guided robotic linear accelerator-based stereotactic radiosurgery is a precise, non-invasive treatment. It uses a machine to deliver high-dose radiation to a specific area in your body, like a tumor, in a single session or across multiple sessions.

19 services19 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

15 services15 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360051

LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County

Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360076

LocationOne Medical Center DriveFranklin, OH 45005 · Warren 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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.

92.98/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

84.52

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

58%72 patients3/55-star benchmark: 93%

Cervical Cancer Screening

20%25 patients1/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

24%49 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

41%155 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

68%117 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

24%37 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

30%37 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%711 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

27%248 patients2/55-star benchmark: 100%

HIV Screening

13%116 patients1/55-star benchmark: 60%

Oncology: Medical and Radiation - Pain Intensity Quantified

98%830 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

56%319 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

96%243 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

23%337 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 201 patients

Patients screened: 99% · 201 patients

92%37 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%236 patients5/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%218 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 32% · 239 patients

Patients totalRate: 38% · 239 patients

37%239 patients1/55-star benchmark: 100%

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.

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.

DR. MARK D ROMER MD

Internal Medicine (Hematology & Oncology)

3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409

Montgomery County (937) 293-1622

KETAN S. SHAH MD

Internal Medicine (Hematology & Oncology)

3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409

Montgomery County (937) 293-1622

MANISH R SHETH MD

Internal Medicine (Hematology & Oncology)

3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409

Montgomery County (937) 293-1622

THOMAS ALEXANDER RHONE R.PH

Pharmacist

3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409

Montgomery County (937) 528-0340

DR. BURHAN S YANES MD

Internal Medicine (Hematology & Oncology)

3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409

Montgomery County (937) 293-1622

JOHNNA BETH STAMPER CNP

Nurse Practitioner (Family)

3120 GOVERNORS PLACE BLVD
DAYTON, OH 45409

Montgomery County (937) 293-1622

GARY L NICHOLSON M.D.

Internal Medicine (Hematology & Oncology)

3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409

Montgomery County (937) 293-1622

DR. MAUREEN CROSSMAN PHARM.D.

Pharmacist

3120 GOVERNORS PLACE BLVD
KETTERING, OH 45409

Montgomery County (937) 528-0334

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 Douglas Einstein's NPI number?

The NPI number for Douglas Einstein is 1275563413. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Douglas Einstein located?

Douglas Einstein practices at 3120 Governors Place Blvd, Kettering, OH 45409. The listed phone number is (937) 293-1622.

What is Douglas Einstein's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Douglas Einstein enrolled in Medicare?

Yes. Douglas Einstein 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 Douglas Einstein accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Douglas Einstein 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 Douglas Einstein affiliated with any hospitals?

According to CMS data, Douglas Einstein is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Einstein was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.