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

Q: 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.

Q: What is Mark Fish's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Fish was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

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: October 18, 2026.

On this page

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

Phone(515) 440-2676

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Fish reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cosm LLP

Same address

Orthopaedic Surgery

12499 UNIVERSITY AVE STE 210
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
14 clinicians in this Medicare group

NPI 1972384519 (515) 440-2676

Capital Orthopaedics And Sports Medicine PC

0.2 mi

Orthopaedic Surgery

12499 UNIVERSITY AVE, SUITE 210
Clive, IA 50325

Reassigned Medicare billing, Iowa enrollment
15 clinicians in this Medicare group

NPI 1932432457 (515) 440-2676

Broadlawns Medical Center

7.8 mi

General Acute Care Hospital

1801 HICKMAN RD
Des Moines, IA 50314

Reassigned Medicare billing, Iowa enrollment
518 clinicians in this Medicare group

NPI 1467447508 (515) 282-2200

Boone County Comprehensive Specialty Care

32 mi

Surgery

1015 UNION ST, SUITE 120
Boone, IA 50036

Reassigned Medicare billing, Iowa enrollment
12 clinicians in this Medicare group

NPI 1316982200 (515) 433-8700

Boone County Hospital

32 mi

Critical Access

1015 UNION ST
Boone, IA 50036

Reassigned Medicare billing, Iowa enrollment
53 clinicians in this Medicare group

NPI 1467434225 (515) 433-8470

Knoxville Community Hospital Inc

41 mi

Critical Access

1002 SOUTH LINCOLN ST
Knoxville, IA 50138

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1770591661 (Iowa)
98 clinicians in this Medicare group

NPI 1922087915 (641) 842-2151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

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.

322 services124 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

208 services171 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.

153 services129 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.

146 services115 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.

144 services120 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.

100 services78 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.

99 services99 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

86 services70 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

61 services51 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

50 services49 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

29 services28 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

28 services28 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

25 services25 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

21 services20 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

19 services19 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

18 services17 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

17 services17 patients

Partial removal of collar bone at shoulder using an endoscope 29824

This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.

13 services13 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

13 services13 patients

Removal of extensive shoulder joint tissue using an endoscope 29823

This procedure, known as arthroscopic debridement, involves using a small camera (endoscope) to view your shoulder joint. Damaged or unwanted tissue is then carefully removed. This minimally invasive technique aims to reduce pain and improve joint mobility.

11 services11 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Dallas County Hospital

Critical Access Hospitals · Perry, IA

OwnershipGovernment - Local

CMS Certification Number161322

Location610 Tenth StreetPerry, IA 50220 · Dallas County

Emergency services

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

Boone County Hospital

Critical Access Hospitals · Boone, IA

OwnershipGovernment - Local

CMS Certification Number161372

Location1015 Union StreetBoone, IA 50036 · Boone 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.

WILLIAM R. BOULDEN MD PC

Orthopaedic Surgery

12499 UNIVERSITY AVE, SUITE 210
DES MOINES, IA 50325

Polk County (515) 440-2676

MRS. DIANA ELIZABETH HANSON MS, CCC-A

Audiologist

12499 UNIVERSITY AVE, STE 200
CLIVE, IA 50325

Polk County (515) 418-9960

WEST LAKES SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

12499 UNIVERSITY AVE, SUITE 100
CLIVE, IA 50325

Polk County (515) 974-5050

MS. SARAH M FUGLEBERG

Audiologist

12499 UNIVERSITY AVE, STE 200
CLIVE, IA 50325

Polk County (515) 418-9960

DR. DONNA J BAHLS M.D.

Physical Medicine & Rehabilitation

12499 UNIVERSITY AVE, SUITE 210
CLIVE, IA 50325

Polk County (515) 327-1555

EMILY BOWERS ARNP

Nurse Practitioner

12499 UNIVERSITY AVE
CLIVE, IA 50325

Polk County (515) 245-6425

DELANEY THOMAS

Audiologist

12499 UNIVERSITY AVE
CLIVE, IA 50325

Polk County (515) 418-9960

DR. BRIAN M CRITES M.D.

Orthopaedic Surgery

12499 UNIVERSITY AVE, SUITE 210
CLIVE, IA 50325

Polk County (515) 440-2676

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.

Which organizations bill Medicare for Mark Fish's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fish reassigns Medicare benefits to 6 organizations: Cosm LLP (Clive, IA), Capital Orthopaedics And Sports Medicine PC (Clive, IA), Broadlawns Medical Center (Des Moines, IA), Boone County Comprehensive Specialty Care (Boone, IA), Boone County Hospital (Boone, IA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Fish's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Fish accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 2 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, Dallas County Hospital, Knoxville Hospital & Clinics and Boone County Hospital.

When was this NPI record last updated?

The NPPES record for Mark Fish was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.