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DAVID T SOWDEN MD
NPI 1295727196
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Fort Wayne, IN

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11108 PARKVIEW CIRCLE DR, SUITE 5100, FORT WAYNE, IN 46845(260) 266-2800(260) 266-2805 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 20, 2022, Mar 29, 2021, Dec 24, 2019 (3 updates tracked since 2019).

About David T Sowden Md NPPES

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

DAVID T SOWDEN MD (NPI 1295727196) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Fort Wayne, Indiana, licensed in Indiana (01032254A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1295727196
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDAVID T SOWDENCredential: MD
Location Address11108 PARKVIEW CIRCLE DR, SUITE 5100Fort Wayne, IN 46845-1730
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701 · (260) 266-6013
Phone(260) 266-2800
Fax(260) 266-2805
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateAugust 17, 2005
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1295727196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in IN · 01032254A
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Other Identifiers 4

Medicaid100361000IN
Other000000595622IN · Anthem
Other330003043IN · Rail Road Medicare
OtherP00755204IN · Medicare Rr

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

David T Sowden 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 ID9436149374
PECOS Enrollment IDI20090108000606
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 9

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
204 services195 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.
132 services91 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
129 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
61 services61 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
34 services29 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

SHANNON L DECKER
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DAVID P LLOYD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845
Allen County (260) 266-2800
HOLLACE D CHASTAIN MD
Internal Medicine (Interventional Cardiology)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. MARYAM NOURELDIN PHARMD, BCPS
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480
VAISHALI A PATEL
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
WILLIAM W WILSON MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
MICHAEL J MIRRO MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. NOAH BUDI PHARMD.
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480

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 David Sowden's NPI number?

The NPI number for David Sowden is 1295727196. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is David Sowden located?

David Sowden practices at 11108 Parkview Circle Dr Suite 5100, Fort Wayne, IN 46845. The listed phone number is (260) 266-2800.

What is David Sowden's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Sowden enrolled in Medicare?

Yes. David Sowden 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 David Sowden accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list David Sowden 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.

When was this NPI record last updated?

The NPPES record for David Sowden was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.