NATHAN FRANSSEN M.D.
NPI 1629455076
Radiology - Diagnostic Radiology in Burlington, VT

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
111 COLCHESTER AVE, # 564, BURLINGTON, VT 05401(802) 847-5162(802) 847-0420 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Nov 17, 2025, Jun 10, 2025 and 1 more (4 updates tracked since 2021).

About Nathan Franssen M.d. NPPES

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

NATHAN FRANSSEN M.D. (NPI 1629455076) is an individual diagnostic radiology provider in Burlington, Vermont, licensed in Vermont (042.0018973) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1629455076
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameNATHAN FRANSSENCredential: M.D.
Location Address111 COLCHESTER AVE, # 564Burlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-5162 · Fax (802) 847-0420
Fax(802) 847-0420
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateJanuary 7, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1629455076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in VT · 042.0018973✔ Licensed in NY · 339717
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 060.0005185 (VT)
111 COLCHESTER AVE, Burlington, VT 05401

Secondary Practice Locations 5

Location 1133 Park StMalone, NY 12953-1244 · Phone (518) 483-3000
Location 275 Beekman StPlattsburgh, NY 12901-1438 · Phone (518) 561-2000
Location 3115 Porter DrMiddlebury, VT 05753-8629 · Phone (802) 388-4430
Location 4130 Fisher Rd Unit 1Berlin, VT 05602-8132 · Phone (802) 371-4100
Location 575 Park StreetElizabethtown, NY 12932 · Phone (518) 873-6377

Accepted 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

Nathan Franssen M.d. 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 ID941604532
PECOS Enrollment IDI20251119001092, I20251124002146
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

7

Medicare enrollment records show Nathan Franssen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
General Acute Care Hospital
75 BEEKMAN ST
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 675 clinicians in this Medicare group
Advanced Practice Midwife
20 ARMORY LN
Vergennes, VT 05491
  • Reassigned Medicare billing, Vermont enrollment
  • Also billed through NPI 1134457013 (Vermont)
  • 243 clinicians in this Medicare group
General Practice
75 PARK STREET
Elizabethtown, NY 12932
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1487923637 (New York)
  • 219 clinicians in this Medicare group
Family Medicine
130 FISHER RD
Berlin, VT 05602
  • Reassigned Medicare billing, Vermont enrollment
  • 562 clinicians in this Medicare group
Critical Access
133 PARK ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 326 clinicians in this Medicare group
Diagnostic Radiology
1433 N 1075 W STE 104
Farmington, UT 84025
  • Reassigned Medicare billing, Vermont enrollment

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

Hospital Affiliations CMS Care Compare 3

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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.

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.

Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401

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 Nathan Franssen's NPI number?

The NPI number for Nathan Franssen is 1629455076. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Nathan Franssen located?

Nathan Franssen practices at 111 Colchester Ave # 564, Burlington, VT 05401. The listed phone number is (802) 847-5162.

What is Nathan Franssen's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nathan Franssen enrolled in Medicare?

Yes. Nathan Franssen 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 Nathan Franssen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Franssen reassigns Medicare benefits to 7 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Champlain Valley Physicians Hospital Medical Center (Plattsburgh, NY), Porter Hospital Inc (Vergennes, VT), Elizabethtown Community Hospital (Elizabethtown, NY), Central Vermont Medical Center Inc (Berlin, VT) and 2 more organizations, 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 Nathan Franssen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Franssen accept?

Health plans from Anthem Blue Cross and Blue Shield and Select Health list Nathan Franssen 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 Nathan Franssen affiliated with any hospitals?

According to CMS data, Nathan Franssen is affiliated with Champlain Valley Physicians Hospital Medical Ctr, The University Of Vermont Health Network-Alice Hy and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Nathan Franssen was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.