DR. DOUGLAS EISENBROWN NP
NPI 1720550304
Nurse Practitioner - Family in Mount Vernon, OH

Q: What is Douglas Eisenbrown's NPI number?

The NPI number for Douglas Eisenbrown is 1720550304. It was assigned to this individual provider in the NPPES registry on December 20, 2018.

Q: What is Douglas Eisenbrown's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since December 20, 2018PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

855 COSHOCTON AVE, MOUNT VERNON, OH 43050(403) 266-5527 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2024, Aug 10, 2020, Dec 20, 2018 (3 updates tracked since 2018).

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About Dr. Douglas Eisenbrown Np NPPES

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

DR. DOUGLAS EISENBROWN NP (NPI 1720550304) is an individual family provider in Mount Vernon, Ohio, licensed in Ohio (APRN.CNP.022954) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720550304

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. DOUGLAS EISENBROWNCredential: NP

Location Address855 COSHOCTON AVEMount Vernon, OH 43050-1975

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108

Phone(403) 266-5527

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateDecember 20, 2018

Last NPPES UpdateDecember 10, 20243 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1720550304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OH · APRN.CNP.022954

855 COSHOCTON AVE, Mount Vernon, OH 43050

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Insurance.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

Dr. Douglas Eisenbrown Np 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 ID244656585

PECOS Enrollment IDI20200817002634

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 2

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.

37 services23 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43050 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

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

KRISHNA PATEL PHARMD

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)