DR. DOUGLAS VAN FOSSEN M.D.
NPI 1629039698
Internal Medicine - Cardiovascular Disease in Westerville, OH

Active since March 30, 2006PECOS Enrolled
81.3/100
CMS Quality Rating
260 POLARIS PKWY FL 2, WESTERVILLE, OH 43082(614) 533-3470(614) 533-3160 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Oct 30, 2023, Sep 20, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Douglas Van Fossen M.d. NPPES

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

DR. DOUGLAS VAN FOSSEN M.D. (NPI 1629039698) is an individual cardiovascular disease provider in Westerville, Ohio, licensed in Ohio (35.046445) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629039698
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DOUGLAS VAN FOSSENCredential: M.D.
Location Address260 POLARIS PKWY FL 2Westerville, OH 43082-8019
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Fax(614) 533-3160
Sole ProprietorNo
Enumeration DateMarch 30, 2006
Last NPPES UpdateApril 18, 20244 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1629039698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 35.046445
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedSpecialistTaxonomy 174400000X · License 35046445 (OH)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 35.046445 (OH)
260 POLARIS PKWY FL 2, Westerville, OH 43082

Other Identifiers 1

Medicaid0554967OH

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 (PECOS)

Dr. Douglas Van Fossen M.d. 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.

Areas of Expertise CMS Part B claims 9

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.
135 services124 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.
53 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
43 services43 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
29 services29 patients
Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928
This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.
16 services13 patients
Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978
This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43082 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Cardiovascular Disease)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Nurse Practitioner (Family)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Internal Medicine (Cardiovascular Disease)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Internal Medicine (Cardiovascular Disease)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Internal Medicine (Cardiovascular Disease)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Internal Medicine (Interventional Cardiology)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082
Nurse Practitioner (Adult Health)
260 POLARIS PKWY FL 2
WESTERVILLE, OH 43082

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 Douglas Van Fossen's NPI number?

The NPI number for Douglas Van Fossen is 1629039698. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Douglas Van Fossen located?

Douglas Van Fossen practices at 260 Polaris Pkwy Fl 2, Westerville, OH 43082. The listed phone number is (614) 533-3470.

What is Douglas Van Fossen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Van Fossen enrolled in Medicare?

Yes. Douglas Van Fossen is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Van Fossen accept?

Health plans from CareSource list Douglas Van Fossen 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.

When was this NPI record last updated?

The NPPES record for Douglas Van Fossen was last updated on April 18, 2024. 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.