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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare) and more.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

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Douglas Eisenbrown reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wedgewood Urgent Care, Ltd
38 mi
Family Medicine
10330 SAWMILL PKWY, SUITE 300
Powell, OH 43065
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1487601167 (614) 923-9200
Memorial Hospital Of Union County
48 mi
Urgent Care
120 COLEMAN'S CROSSING BLVD
Marysville, OH 43040
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1093763757 (937) 578-4310
Family Urgent Care LLC
59 mi
Urgent Care
1180 NORTH COURT STREET, FAMILY URGENT CARE, LLC
Circleville, OH 43113
  • Reassigned Medicare billing, Ohio enrollment
  • 10 clinicians in this Medicare group
NPI 1235588823 (740) 772-5050
The Little Clinic Of Ohio LLC
138 mi
Family
7132 HAMILTON AVE
Cincinnati, OH 45231
  • Reassigned Medicare billing, Ohio enrollment
  • 537 clinicians in this Medicare group
NPI 1982761896 (513) 728-2780

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

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 Interoperability100
Improvement Activities40

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)
855 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-2487
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
855 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-2487
DIANNE C CARPENTER PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
855 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 964-5105
DR. AMBER NICOLE WISE PHARMD, RPH
Pharmacist
855 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (740) 393-2487
MATTHEW GIBSON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
855 COSHOCTON AVE
MOUNT VERNON, OH 43050
Knox County (513) 646-9484

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 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.

Where is Douglas Eisenbrown located?

Douglas Eisenbrown practices at 855 Coshocton Ave, Mount Vernon, OH 43050. The listed phone number is (403) 266-5527.

What is Douglas Eisenbrown's specialty?

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

Is Douglas Eisenbrown enrolled in Medicare?

Yes. Douglas Eisenbrown 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 Douglas Eisenbrown's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Eisenbrown reassigns Medicare benefits to 4 organizations: Wedgewood Urgent Care, Ltd (Powell, OH), Memorial Hospital Of Union County (Marysville, OH), Family Urgent Care LLC (Circleville, OH) and The Little Clinic Of Ohio LLC (Cincinnati, OH). 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 Douglas Eisenbrown's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Eisenbrown accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, CareSource (Common Ground Healthcare), Molina Healthcare and Oscar Health Insurance list Douglas Eisenbrown 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.

When was this NPI record last updated?

The NPPES record for Douglas Eisenbrown was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.