DANIEL J VANHIMBERGEN M.D.
NPI 1639354459
Otolaryngology in Richmond, VA

Active since December 31, 2007PECOS EnrolledAccepts Medicare Assignment
81.02/100
CMS Quality Rating
161 WADSWORTH DRIVE, VIRGINIA EAR, NOSE, & THROAT ASSOCIATES, RICHMOND, VA 23236(804) 484-3700(804) 320-6462 Get Directions Write a Review

NPPES record last updated: December 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Daniel J Vanhimbergen M.d. NPPES

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

DANIEL J VANHIMBERGEN M.D. (NPI 1639354459) is an individual otolaryngology provider in Richmond, Virginia, licensed in Virginia (0101242679) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of University Of Louisville School Of Medicine (2003).

NPPES Registry Identity

NPI1639354459
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDANIEL J VANHIMBERGENCredential: M.D.
Location Address161 WADSWORTH DRIVE, VIRGINIA EAR, NOSE, & THROAT ASSOCIATESRichmond, VA 23236
Mailing Address161 Wadsworth Dr, Virginia Ear, Nose, & Throat AssociatesRichmond, VA 23236 · (804) 484-3700 · Fax (804) 320-6462
Fax(804) 320-6462
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateDecember 31, 2007
Last NPPES UpdateDecember 28, 2010
NPI 1639354459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in VA · 0101242679
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
161 WADSWORTH DRIVE, Richmond, VA 23236

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

Daniel J Vanhimbergen 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 ID749352110
PECOS Enrollment IDI20080630000191
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 11

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 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.
269 services194 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
246 services171 patients
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.
200 services164 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
181 services181 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
149 services120 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
136 services136 patients

Hospital Affiliations CMS Care Compare 4

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490069
Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County
Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23236 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

81.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.49
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
48%125 patients3/55-star benchmark: 100%
Allergic Rhinitis: Intranasal Corticosteroids or Oral Antihistamines
66%349 patients3/55-star benchmark: 89%
Documentation of Current Medications in the Medical Record
96%3,129 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 586 patients
Patients screened: 100% · 586 patients
100%29 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,260 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
97%230 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Audiologist
161 WADSWORTH DRIVE
RICHMOND, VA 23236
Audiologist
161 WADSWORTH DRIVE
RICHMOND, VA 23236
Otolaryngology
161 WADSWORTH DRIVE
RICHMOND, VA 23236
Otolaryngology
161 WADSWORTH DRIVE
RICHMOND, VA 23236

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 Daniel Vanhimbergen's NPI number?

The NPI number for Daniel Vanhimbergen is 1639354459. It was assigned to this individual provider in the NPPES registry on December 31, 2007.

Where is Daniel Vanhimbergen located?

Daniel Vanhimbergen practices at 161 Wadsworth Drive Virginia Ear, Nose, & Throat Associates, Richmond, VA 23236. The listed phone number is (804) 484-3700.

What is Daniel Vanhimbergen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Daniel Vanhimbergen enrolled in Medicare?

Yes. Daniel Vanhimbergen 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.

Is Daniel Vanhimbergen affiliated with any hospitals?

According to CMS data, Daniel Vanhimbergen is affiliated with Bon Secours St Marys Hospital, Bon Secours Memorial Regional Medical Center, Cjw Medical Center and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Vanhimbergen was last updated on December 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.