DR. LARRY DOUGLAS VAN FOSSEN (D.O.) – Anesthesiology Physician, NPI 1497778054
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,268 ANESTHESIOLOGY in OH
Provider Addresses for DR. LARRY DOUGLAS VAN FOSSEN (D.O.)
2052 COMMON BENT DR
SUNBURY, OH 430747576
Phone: (614) 284-6801
Type: Mailing
800 MCCONNELL RD
COLUMBUS, OH 432143463
Phone: (614) 533-6297
Type: Location
600 N Cattlemen Rd Ste 200
Sarasota, FL 342326422
Phone: (941) 377-9993
Fax: (941) 343-0026
Type: Location
5955 RAND BLVD
SARASOTA, FL 342385160
Phone: (941) 893-6620
Fax: (941) 748-8440
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220616002062 | I | Anesthesiology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 38 | 37 | $0 |
| 00145 | Anesthesia for retinal surgery | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 16 | $0 |
| 64415 | Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) | 16 | 16 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 43074)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| A N E S T H E S I O L O G Y | GA | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | PA | |
| Pain Management, Anesthesiology | FL | |
| Certified Registered Nurse Anesthetist (Crna) | PA |
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