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DAVID OSPINA MD
NPI 1689660912
Internal Medicine - Hematology & Oncology in Berlin, VT

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
130 FISHER RD, MOB-B, STE 3, BERLIN, VT 05602(802) 225-5400(802) 225-5401 Get Directions Write a Review

NPPES record last updated: December 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Ospina Md NPPES

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

DAVID OSPINA MD (NPI 1689660912) is an individual hematology & oncology provider in Berlin, Vermont, licensed in Vermont (0420009677) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Central Vermont Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1689660912
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDAVID OSPINACredential: MD
Location Address130 FISHER RD, MOB-B, STE 3Berlin, VT 05602-9516
Mailing AddressPo Box 547, Central Vermont Medical Center - Finance DeptBarre, VT 05641-0547 · (802) 225-5400 · Fax (802) 225-5401
Phone(802) 225-5400
Fax(802) 225-5401
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 22, 2005
Last NPPES UpdateDecember 4, 2014
✔ NPI 1689660912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in VT · 0420009677✔ Licensed in VT · 9677
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
130 FISHER RD, Berlin, VT 05602
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Other Identifiers 3

MedicaidOVN1756VT
Medicare UPING69646VT
Medicare PINOVN175601VT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

David Ospina 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 ID4385707249
PECOS Enrollment IDI20090120000594
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.
488 services200 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.
224 services141 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
132 services77 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
60 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
49 services49 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
38 services31 patients

Hospital Affiliations CMS Care Compare 4

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

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

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

Northeastern Vermont Regional Hospital

Critical Access Hospitals · Saint Johnsbury, VT
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471303
Location1315 Hospital DriveSaint Johnsbury, VT 05819 · Caledonia County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$168.48 typical visit price
range $55.80 – $168.48
Typical copayment $42.12 (range $13.95 – $42.12)
Most-billed visit code 99205
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

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.

DAVID INDENBAUM MD
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4263
DEVIKA SINGH M.D.
Internal Medicine
130 FISHER RD, MOB-B SUITE 3
BERLIN, VT 05602
Washington County (802) 225-5400
CENTRAL VERMONT MEDICAL CENTER INC
Family Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
DR. RICHARD GERALD TAYLOR M.D.
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Washington County (802) 371-4100
MS. JESSICA LEIGH OLIVE PT
Physical Therapist
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-5909
BRETT ERDREICH
Internal Medicine (Pulmonary Disease)
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
JACQUELINE GALLAGHER PA
Physician Assistant
130 FISHER RD, EMERGENCY DEPT
BERLIN, VT 05602
Washington County (802) 371-4365
ROBERT R DAVIDSON PA-C
Physician Assistant
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 225-7000

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 David Ospina's NPI number?

The NPI number for David Ospina is 1689660912. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is David Ospina located?

David Ospina practices at 130 Fisher Rd Mob-B, Ste 3, Berlin, VT 05602. The listed phone number is (802) 225-5400.

What is David Ospina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is David Ospina enrolled in Medicare?

Yes. David Ospina 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.

What insurance does David Ospina accept?

Health plans from Anthem Blue Cross and Blue Shield list David Ospina 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 David Ospina affiliated with any hospitals?

According to CMS data, David Ospina is affiliated with Central Vermont Medical Center, Univ. Of Vermont - Fletcher Allen Health Care, Northeastern Vermont Regional Hospital and Copley Hospital.

When was this NPI record last updated?

The NPPES record for David Ospina was last updated on December 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.