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VAN LE M.D.
NPI 1811336761
Internal Medicine - Critical Care Medicine in Zanesville, OH

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
945 BETHESDA DR STE 260, ZANESVILLE, OH 43701(740) 454-4000 Get Directions Write a Review

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Van Le M.d. NPPES

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

VAN LE M.D. (NPI 1811336761) is an individual critical care medicine provider in Zanesville, Ohio, licensed in Ohio (35.128148) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Boston University School Of Medicine (2013).

NPPES Registry Identity

NPI1811336761
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameVAN LECredential: M.D.
Location Address945 BETHESDA DR STE 260Zanesville, OH 43701-1880
Mailing Address945 Bethesda Dr Ste 260Zanesville, OH 43701-1880
Phone(740) 454-4000
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2013
Enumeration DateJune 24, 2013
Last NPPES UpdateApril 4, 2022
NPPES CertifiedApril 4, 2022
✔ NPI 1811336761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in OH · 35.128148
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.128148 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.128148 (OH)
945 BETHESDA DR STE 260, Zanesville, OH 43701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Van Le 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 ID2163718495
PECOS Enrollment IDI20190614002599
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

2

Medicare enrollment records show Van Le reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Medical Group LLC
Same address
General Practice
945 BETHESDA DR STE 200
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 300 clinicians in this Medicare group
NPI 1063663433 (740) 450-6147
Mount Carmel Healthproviders Two LLC
44 mi
Cardiovascular Disease
6150 E BROAD ST
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 241 clinicians in this Medicare group
NPI 1134154750 (614) 546-4400

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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
199 services97 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 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.
27 services20 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.
23 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Diley Ridge Medical Center

Acute Care Hospitals · Canal Winchester, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360358
Location7911 Diley RoadCanal Winchester, OH 43110 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43701 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
9 suppliers60 claims69 services$18.42 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$14.90 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
7 suppliers31 claims31 services$5.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
10 suppliers71 claims79 services$95.12 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JACOB HUPP
Internal Medicine (Critical Care Medicine)
945 BETHESDA DR STE 260
ZANESVILLE, OH 43701
Muskingum County (740) 586-6888

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 Van Le's NPI number?

The NPI number for Van Le is 1811336761. It was assigned to this individual provider in the NPPES registry on June 24, 2013.

Where is Van Le located?

Van Le practices at 945 Bethesda Dr Ste 260, Zanesville, OH 43701. The listed phone number is (740) 454-4000.

What is Van Le's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Van Le enrolled in Medicare?

Yes. Van Le 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 Van Le's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Van Le reassigns Medicare benefits to 2 organizations: Genesis Medical Group LLC (Zanesville, OH) and Mount Carmel Healthproviders Two LLC (Columbus, 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 Van Le's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Van Le accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 2 other insurers list Van Le 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 Van Le affiliated with any hospitals?

According to CMS data, Van Le is affiliated with Mount Carmel St Ann's, Mount Carmel East & West, Genesis Hospital, Mount Carmel New Albany Surgical Hospital and Diley Ridge Medical Center.

When was this NPI record last updated?

The NPPES record for Van Le was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.