MARK DOUGLAS FISH D.O.
NPI 1548212368
Orthopaedic Surgery in Clive, IA

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
12499 UNIVERSITY AVE, STE. 210, CLIVE, IA 50325(515) 440-2676(515) 440-2677 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Douglas Fish D.o. NPPES

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

MARK DOUGLAS FISH D.O. (NPI 1548212368) is an individual orthopaedic surgery provider in Clive, Iowa, licensed in Iowa (3790) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone Des Moines Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1548212368
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK DOUGLAS FISHCredential: D.O.
Location Address12499 UNIVERSITY AVE, STE. 210Clive, IA 50325-8288
Mailing Address12499 University Ave, Ste. 210Clive, IA 50325-8288 · (515) 440-2676 · Fax (515) 440-2677
Fax(515) 440-2677
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 17, 2006
Last NPPES UpdateJanuary 23, 2013
NPI 1548212368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in IA · 3790 Licensed in IN · 02003044A
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 02003044A (IN)
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 02003044A (IN)
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 02003044A (IN)
12499 UNIVERSITY AVE, Clive, IA 50325

Other Identifiers 9

Other4178250001IN · Dme
Other7305819IN · Aetna
Other2655165IN · United Health Care
OtherP00325521IN · Rr Medicare
Medicare UPINI52359
Other000000480577IN · Bcbs
Medicare ID-Type UnspecifiedI19881IA
Other075965IN · Siho
Medicare ID-Type Unspecified177100TIN

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

Mark Douglas Fish D.o. 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 ID1951312305
PECOS Enrollment IDI20070509000079
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 26

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
271 services103 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
211 services164 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
142 services115 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
121 services105 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
118 services94 patients
X-ray of hip, 1 view 73501
An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.
103 services77 patients

Hospital Affiliations CMS Care Compare 3

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

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161355
Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50325 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier53 claims1,094 services$18.71 avg. paid by Medicare
Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833
DME-Orthotic Devices · category DF011N
1 supplier45 claims45 services$392.05 avg. paid by Medicare
Addition to lower extremity orthosis, suspension sleeve L2397
DME-Orthotic Devices · category DF000N
1 supplier14 claims14 services$96.84 avg. paid by Medicare
Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
3 suppliers51 claims51 services$615.47 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 20

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

Orthopaedic Surgery
12499 UNIVERSITY AVE, SUITE 210
DES MOINES, IA 50325
Audiologist
12499 UNIVERSITY AVE, SUITE 200
CLIVE, IA 50325
Orthopaedic Surgery (Sports Medicine)
12499 UNIVERSITY AVE, SUITE 210
DES MOINES, IA 50325
Orthopaedic Surgery
12499 UNIVERSITY AVE, SUITE 210
DES MOINES, IA 50325
Podiatrist (Foot & Ankle Surgery)
12499 UNIVERSITY AVE, SUITE 210
DES MOINES, IA 50325
Physical Medicine & Rehabilitation
12499 UNIVERSITY AVE, SUITE 210
CLIVE, IA 50325
Orthopaedic Surgery
12499 UNIVERSITY AVE, SUITE 210
CLIVE, IA 50325
Surgery
12499 UNIVERSITY AVE, STE. 210
CLIVE, IA 50325

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 Mark Fish's NPI number?

The NPI number for Mark Fish is 1548212368. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Mark Fish located?

Mark Fish practices at 12499 University Ave Ste. 210, Clive, IA 50325. The listed phone number is (515) 440-2676.

What is Mark Fish's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Fish enrolled in Medicare?

Yes. Mark Fish 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 Mark Fish accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Mark Fish 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 Mark Fish affiliated with any hospitals?

According to CMS data, Mark Fish is affiliated with Mercyone Des Moines Medical Center, Broadlawns Medical Center and Knoxville Hospital & Clinics.

When was this NPI record last updated?

The NPPES record for Mark Fish was last updated on January 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.