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DR. FREDERICK PAUL VANDUSEN DO
NPI 1619951894
Family Medicine in Galena, MD

Active since December 01, 2005PECOS Enrolled
119 C N MAIN STREET, GALENA, MD 21635(410) 648-5150(410) 648-5140 Get Directions Write a Review

NPPES record last updated: March 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Frederick Paul Vandusen Do NPPES

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

DR. FREDERICK PAUL VANDUSEN DO (NPI 1619951894) is an individual family medicine provider in Galena, Maryland, licensed in Maryland (H67200) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619951894
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FREDERICK PAUL VANDUSENCredential: DO
Location Address119 C N MAIN STREETGalena, MD 21635
Mailing Address119 Cn Main StreetGalena, MD 21635 · (410) 648-5150 · Fax (410) 648-5140
Phone(410) 648-5150
Fax(410) 648-5140
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateMarch 27, 2012
✔ NPI 1619951894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · H67200✔ Licensed in DE · C20004063
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
119 C N MAIN STREET, Galena, MD 21635
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Other Identifiers 8

Other5391600MD · Aetna
Other8177823MD · United Healthcare/mamsi/opt Choice
Medicare UPING57339
Other521116591MD · Informed
Other038396MD · Priority Partners
Medicare UPING57339MD
Medicaid442259700MD
Medicaid0001067004DE

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frederick Paul Vandusen Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Frederick Vandusen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers
2,337 mi
Federally Qualified Health Center (FQHC)
7438 S D AVE STE A
Concrete, WA 98237
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1790185759 (360) 853-8183

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21635 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP, INC.
Family Medicine
119 C N MAIN STREET
GALENA, MD 21635
Kent County (410) 648-5150

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 Frederick Vandusen's NPI number?

The NPI number for Frederick Vandusen is 1619951894. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Frederick Vandusen located?

Frederick Vandusen practices at 119 C N Main Street, Galena, MD 21635. The listed phone number is (410) 648-5150.

What is Frederick Vandusen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Frederick Vandusen enrolled in Medicare?

Yes. Frederick Vandusen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Frederick Vandusen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frederick Vandusen reassigns Medicare benefits to Sea Mar Community Health Centers (Concrete, WA). The 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 Frederick Vandusen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Frederick Vandusen was last updated on March 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.