DR. DAVID J DUNCH MD
NPI 1457339376
Colon & Rectal Surgery in Youngstown, OH

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
250 DEBARTOLO PL, SUITE 1640, YOUNGSTOWN, OH 44512(330) 726-2602(330) 726-2653 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David J Dunch Md NPPES

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

DR. DAVID J DUNCH MD (NPI 1457339376) is an individual colon & rectal surgery provider in Youngstown, Ohio, licensed in Ohio (35051938) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Surgical Hospital At Southwoods, and is a graduate of Hahnemann University College Of Medicine (1978).

NPPES Registry Identity

NPI1457339376
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. DAVID J DUNCHCredential: MD
Location Address250 DEBARTOLO PL, SUITE 1640Youngstown, OH 44512-7004
Mailing Address250 Debartolo Pl, Suite 1640Youngstown, OH 44512-7004 · (330) 726-2602 · Fax (330) 726-2653
Fax(330) 726-2653
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1978
Enumeration DateJanuary 3, 2006
Last NPPES UpdateNovember 29, 2007
NPI 1457339376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in OH · 35051938
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
250 DEBARTOLO PL, Youngstown, OH 44512

Other Identifiers 5

Medicaid0593424OH
Other000000140049Anthem Bc Bs
Medicare UPINA16068
Medicare PINDUO567562
Other140007Medicare United Healthcar

Accepted 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

Dr. David J Dunch 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 ID5698890325
PECOS Enrollment IDI20100917000529
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 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 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.
80 services62 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
70 services70 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.
54 services54 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
31 services31 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
28 services28 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

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

Reported Quality Measures

Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
Percentage of patients aged 18 years and older receiving a surveillance colonoscopy, with a history of a prior adenomatous polyp(s) in previous colonoscopy findings, which had an interval of 3 or more years since their last colonoscopy
100%209 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,684 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
58%686 patients3/55-star benchmark: 95%
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.

Internal Medicine (Cardiovascular Disease)
250 DEBARTOLO PL, SUITE 2750
YOUNGSTOWN, OH 44512
Internal Medicine (Cardiovascular Disease)
250 DEBARTOLO PL, SUITE 2750
YOUNGSTOWN, OH 44512
Internal Medicine (Cardiovascular Disease)
250 DEBARTOLO PL, SUITE 2750
YOUNGSTOWN, OH 44512
Colon & Rectal Surgery
250 DEBARTOLO PL, SUITE 1640
YOUNGSTOWN, OH 44512
Nurse Practitioner (Family)
250 DEBARTOLO PL
BOARDMAN, OH 44512
Internal Medicine (Cardiovascular Disease)
250 DEBARTOLO PL, SUITE 2750
YOUNGSTOWN, OH 44512
Family Medicine
250 DEBARTOLO PL, SUITE 1650
BOARDMAN, OH 44512
Radiology (Diagnostic Radiology)
250 DEBARTOLO PL, BLDG B
YOUNGSTOWN, OH 44512

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 Dunch's NPI number?

The NPI number for David Dunch is 1457339376. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is David Dunch located?

David Dunch practices at 250 Debartolo Pl Suite 1640, Youngstown, OH 44512. The listed phone number is (330) 726-2602.

What is David Dunch's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is David Dunch enrolled in Medicare?

Yes. David Dunch 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 Dunch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list David Dunch 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 David Dunch affiliated with any hospitals?

According to CMS data, David Dunch is affiliated with Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for David Dunch was last updated on November 29, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.