DAVID JAMES CONGDON MD
NPI 1639123243
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Waterloo, IA
- Individual
- Male
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
- Accepts Insurance
- PECOS Enrolled
About DAVID CONGDON
This page provides the complete NPI Profile along with additional information for David Congdon, a provider established in Waterloo, Iowa with a medical specialization in Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1639123243 assigned on May 2006. The practitioner's primary taxonomy code is 207YX0905X with license number 35119 (IA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1639123243 Verify this NPI
- Provider Name
- DAVID JAMES CONGDON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2515 CYCLONE DR STE B WATERLOO, IA 50701
- Location Phone
- (319) 888-8044
- Mailing Address
- PO BOX 2758 WATERLOO, IA 50704
- Mailing Phone
- (319) 833-5970
- Mailing Fax
- (319) 833-5971
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-19-2006
- Last Update Date
- 02-04-2022
- Code Navigator
Location Map
Secondary Locations
- 1753 W Ridgeway Ave Ste 111
Waterloo, IA 50701
(319) 833-5970
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35119
- License State
- IA
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
David Congdon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE001N)
Full face mask used with positive airway pressure device, each (HCPCS:A7030)
6 DME suppliers used 24 Medicare Claims 24 Services Paid
DME-Other DME (DE001N)
Face mask interface, replacement for full face mask, each (HCPCS:A7031)
5 DME suppliers used 23 Medicare Claims 60 Services Paid
DME-Other DME (DE001N)
Headgear used with positive airway pressure device (HCPCS:A7035)
6 DME suppliers used 14 Medicare Claims 14 Services Paid
DME-Other DME (DE001N)
Filter, disposable, used with positive airway pressure device (HCPCS:A7038)
5 DME suppliers used 18 Medicare Claims 108 Services Paid
DME-Other DME (DE001N)
Continuous positive airway pressure (cpap) device (HCPCS:E0601)
2 DME suppliers used 43 Medicare Claims 43 Services Paid
Reviews for DAVID JAMES CONGDON MD
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639123243, enumerated as an "individual" on May 19, 2006.
The provider is located at 2515 CYCLONE DR STE B WATERLOO, IA 50701 and the phone number is (319) 888-8044.
Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.
