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DR. BARBARA J VANFOSSEN DPM
NPI 1861467953
Podiatrist in Lancaster, OH

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1334 SHERIDAN DR, SUITE 4, LANCASTER, OH 43130(740) 687-9345(740) 689-1459 Get Directions Write a Review

NPPES record last updated: July 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Barbara J Vanfossen Dpm NPPES

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

DR. BARBARA J VANFOSSEN DPM (NPI 1861467953) is an individual podiatrist in Lancaster, Ohio, licensed in Ohio (36003139V) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (1998).

NPPES Registry Identity

NPI1861467953
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameDR. BARBARA J VANFOSSENCredential: DPM
Location Address1334 SHERIDAN DR, SUITE 4Lancaster, OH 43130-3956
Mailing Address1334 Sheridan Dr, Suite 4Lancaster, OH 43130-3956 · (740) 687-9345 · Fax (740) 689-1459
Phone(740) 687-9345
Fax(740) 689-1459
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1998
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 16, 2010
✔ NPI 1861467953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in OH · 36003139V
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
1334 SHERIDAN DR, Lancaster, OH 43130
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Other Identifiers 5

Other311666298OH · Tax Id Number
Medicaid2141953OH
Medicare UPINU75343OH
Medicare NSC1323170001OH
Medicare PINVA0878282OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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. Barbara J Vanfossen Dpm 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 ID6709770605
PECOS Enrollment IDI20040211000868
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 3

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.
709 services169 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
29 services29 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 services17 patients

Hospital Affiliations CMS Care Compare 3

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

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 2

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

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$52.14 avg. paid by Medicare
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513
DME-Orthotic Devices · category DF000N
1 supplier13 claims73 services$33.63 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 4

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

MRS. MICHEL JANE GOTWALS LISW
Social Worker (Clinical)
1334 SHERIDAN DR
LANCASTER, OH 43130
Fairfield County (740) 653-9186
DR. CRAIG MITCHELL GENTILE D.D.S.
Dentist (General Practice)
1334 SHERIDAN DR
LANCASTER, OH 43130
Fairfield County (740) 654-7711
DR. CHRISTOPHER JENKINS CORNER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1334 SHERIDAN DR, SUITE 2
LANCASTER, OH 43130
Fairfield County (740) 653-9186
JANE A PONTISSO D.P.M.
Podiatrist (Primary Podiatric Medicine)
1334 SHERIDAN DR, SUITE 4
LANCASTER, OH 43130
Fairfield County (740) 687-9345

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 Barbara Vanfossen's NPI number?

The NPI number for Barbara Vanfossen is 1861467953. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Barbara Vanfossen located?

Barbara Vanfossen practices at 1334 Sheridan Dr Suite 4, Lancaster, OH 43130. The listed phone number is (740) 687-9345.

What is Barbara Vanfossen's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Barbara Vanfossen enrolled in Medicare?

Yes. Barbara Vanfossen 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 Barbara Vanfossen accept?

Health plans from CareSource and Molina Healthcare list Barbara Vanfossen 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 Barbara Vanfossen affiliated with any hospitals?

According to CMS data, Barbara Vanfossen is affiliated with Genesis Hospital, Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Barbara Vanfossen was last updated on July 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.