MARY VAN KOOTEN MD
NPI 1619972601
Family Medicine in Bloomington, IN

Q: What is Mary Van Kooten's NPI number?

The NPI number for Mary Van Kooten is 1619972601. It was assigned to this individual provider in the NPPES registry on June 16, 2005.

Q: What is Mary Van Kooten's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Van Kooten was last updated on September 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 16, 2005PECOS EnrolledAccepts Medicare Assignment

550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 355-6900(812) 333-5978 Get Directions Write a Review

NPPES record last updated: September 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2023, Jul 16, 2021, Jan 28, 2019 (3 updates tracked since 2019).

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About Mary Van Kooten Md NPPES

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

MARY VAN KOOTEN MD (NPI 1619972601) is an individual family medicine provider in Bloomington, Indiana, licensed in Indiana (01057928A) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1619972601

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARY VAN KOOTENCredential: MD

Location Address550 S LANDMARK AVEBloomington, IN 47403-3239

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(812) 355-6900

Fax(812) 333-5978

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2002

Enumeration DateJune 16, 2005

Last NPPES UpdateSeptember 9, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2023

✔ NPI 1619972601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01057928A

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.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 01057928A (IN)

550 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 3

Other090540396IN · Medicare Ptan

OtherQ00228730IN · Railroad Ptan

Medicaid200452880IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mary Van Kooten 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 ID8527009190

PECOS Enrollment IDI20050513000689

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 2

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 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.

27 services25 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.

26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers41 claims118 services$5.41 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier22 claims22 services$3.16 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.

RUANA CRONIN NP

Nurse Practitioner (Family)