JOHN M VANDEREN III MD
NPI 1811986094
Internal Medicine - Clinical Cardiac Electrophysiology in Ashland, KY

Q: What is John Vanderen's NPI number?

The NPI number for John Vanderen is 1811986094. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is John Vanderen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for John Vanderen was last updated on February 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment

82.94/100

CMS Quality Rating

613 23RD ST, STE 230, ASHLAND, KY 41101(606) 324-4745(606) 324-4941 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About John M Vanderen Iii Md NPPES

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

JOHN M VANDEREN III MD (NPI 1811986094) is an individual clinical cardiac electrophysiology provider in Ashland, Kentucky, licensed in Kentucky (27105) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Warren Alpert Medical School Of Brown University (1983).

NPPES Registry Identity

NPI1811986094

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameJOHN M VANDEREN IIICredential: MD

Location Address613 23RD ST, STE 230Ashland, KY 41101-2876

Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 324-4745 · Fax (606) 324-4941

Phone(606) 324-4745

Fax(606) 324-4941

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1983

Enumeration DateOctober 19, 2005

Last NPPES UpdateFebruary 28, 2014

✔ NPI 1811986094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in KY · 27105

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 27105 (KY)

613 23RD ST, Ashland, KY 41101

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Other Identifiers 6

Medicaid2138252OH

Medicaid6020006000WV

Other000000065461KY · Anthem Bcbs

Medicaid64271059KY

Medicare UPINE67791

Medicare PIN00788016KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

John M Vanderen Iii 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 ID4082636469

PECOS Enrollment IDI20090211000023

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 37

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

715 services344 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

416 services336 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

404 services207 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

336 services268 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

155 services119 patients

Initial hospital inpatient care per day, typically 70 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.

81 services76 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

80 services50 patients

Programming of dual lead pacemaker system 93280

70 services55 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

55 services52 patients

New patient office or other outpatient visit, 30-44 minutes 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.

54 services54 patients

Follow-up hospital inpatient care per day, typically 25 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.

53 services25 patients

Repair of left upper heart chamber with implant with review by radiologist 33340

This is a procedure to fix a problem in your left upper heart chamber. An implant is used to correct the issue. After the procedure, a radiologist, a doctor who specializes in medical imaging, reviews the images to ensure everything is in order.

48 services48 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

45 services44 patients

Follow-up hospital inpatient care per day, typically 15 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

43 services31 patients

Programming of multiple lead pacemaker system 93281

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

39 services28 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

38 services36 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

35 services23 patients

Established patient office or other outpatient visit, 20-29 minutes 99213

34 services26 patients

Programming of single lead implantable defibrillator system 93282

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

33 services28 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

32 services27 patients

Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227

An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.

31 services30 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

29 services27 patients

Programming of multiple lead implantable defibrillator system 93284

25 services17 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

21 services17 patients

Programming of single lead pacemaker system 93279

Programming of a single lead pacemaker system involves adjusting the pacemaker's settings to suit your heart's unique needs. This is done using a special device that communicates with the pacemaker, ensuring it helps your heart beat at an optimal rate.

20 services15 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.

20 services19 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

17 services17 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system 93289

This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.

14 services13 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

13 services13 patients

Insertion of implantable defibrillator system 33249

The insertion of an implantable defibrillator system is a procedure to manage irregular heart rhythms. A small device is placed under your skin, which monitors your heart rate. If it detects an abnormal rhythm, it sends an electrical pulse to restore normal heartbeat.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

13 services11 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

12 services12 patients

Insertion of left lower heart electrode for pacemaker or defibrillator 33225

The procedure involves placing a small electrode in your left lower heart region. This electrode is part of a pacemaker or defibrillator, devices that help regulate your heart rhythm. It's done under local anesthesia, and you may feel mild discomfort.

11 services11 patients

Removal and replacement of dual lead permanent pacemaker 33228

This procedure involves removing an old dual lead pacemaker and replacing it with a new one. A pacemaker helps regulate your heart's rhythm. The dual lead model has two wires connecting to your heart to improve its electrical signaling. The replacement is done under local anesthesia.

11 services11 patients

Removal and replacement of multiple lead defibrillator 33264

A multiple lead defibrillator helps regulate your heart's rhythm. If it's not functioning properly, it may need to be replaced. In this procedure, the old device is carefully removed and a new one is inserted. It's done under local anesthesia, minimizing discomfort.

11 services11 patients

Initial hospital inpatient care per day, typically 50 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Pacemaker insertion or repair NAN10

Pacemaker insertion or repair is a procedure to help regulate your heartbeat. A small device, called a pacemaker, is implanted under the skin near your heart. This device sends electrical signals to prompt your heart to beat at a normal rate. In a repair procedure, the pacemaker may be adjusted, replaced, or the wires connecting it to your heart may be fixed.

0 services35 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180009

Location2201 Lexington AvenueAshland, KY 41101 · Boyd County

Emergency services

Three Rivers Medical Center

Acute Care Hospitals · Louisa, KY

3/5 CMS rating

OwnershipProprietary

CMS Certification Number180128

Location2485 Highway 644Louisa, KY 41230 · Lawrence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

82.94/100

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

Scored as part of a group practice

Quality

70.01

Promoting Interoperability

100

Improvement Activities

Cost

65.57

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.

RICHARD E PAULUS MD

Internal Medicine (Cardiovascular Disease)

613 23RD ST, STE 230
ASHLAND, KY 41101

Boyd County (606) 324-4745

CUMBERLAND CARDIOLOGY PSC

Internal Medicine (Cardiovascular Disease)

613 23RD ST, STE 230
ASHLAND, KY 41101

Boyd County (606) 324-4745

TINA M SIAS MD

Internal Medicine (Cardiovascular Disease)

613 23RD ST, SUITE G-10
ASHLAND, KY 41101

Boyd County (606) 329-1997

JUDITH TERRY PETRELLA MD

Psychiatry & Neurology (Neurology)

613 23RD ST
ASHLAND, KY 41101

Boyd County (606) 327-4000

TRI-STATE PULMONARY ASSOC PSC

Internal Medicine (Pulmonary Disease)

613 23RD ST, MEDICAL PLAZA B SUITE G30
ASHLAND, KY 41101

Boyd County (606) 329-1185

HEUER & ASSOCIATES, PSC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

613 23RD ST, SUITE 210
ASHLAND, KY 41101

Boyd County (606) 326-9847

KELSEY JAMES, MD, PSC

Obstetrics & Gynecology

613 23RD ST, SUITE 130
ASHLAND, KY 41101

Boyd County (606) 326-9833

GEORGE C BORST III MD PSC

Specialist

613 23RD ST, PLAZA B SUITE 340
ASHLAND, KY 41101

Boyd County (606) 326-1101

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 John Vanderen's NPI number?

The NPI number for John Vanderen is 1811986094. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is John Vanderen located?

John Vanderen practices at 613 23rd St Ste 230, Ashland, KY 41101. The listed phone number is (606) 324-4745.

What is John Vanderen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is John Vanderen enrolled in Medicare?

Yes. John Vanderen 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 John Vanderen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list John Vanderen 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 John Vanderen affiliated with any hospitals?

According to CMS data, John Vanderen is affiliated with King's Daughters' Medical Center and Three Rivers Medical Center.

When was this NPI record last updated?

The NPPES record for John Vanderen was last updated on February 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.