DR. DOUGLAS VAN FOSSEN (M.D.) – Cardiovascular Disease Physician, NPI 1629039698
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. DOUGLAS VAN FOSSEN (M.D.)
PO BOX 7527
DUBLIN, OH 430170727
Phone:
Type: Mailing
Polaris Parkway, Westerville, Sharon, Delaware, Ohio, 43082, United States
WESTERVILLE, OH 430828019
Phone: (614) 533-3470
Fax: (614) 533-3160
Type: Location
Frantz Road, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430164141
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $329.
Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: ZOLL Circulation Inc ($150).
Total Amount
$329
General + Research + Ownership
Payments
13
Total payment records
General Amount
$329
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Circulation Inc | $150 |
| Amgen Inc. | $72 |
| Merck Sharp & Dohme LLC | $53 |
| PFIZER INC. | $35 |
| ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) | $19 |
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: 2003-12-11
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 |
|---|---|---|---|---|
| I20031211000234 | I | Interventional Cardiology | OH | 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 |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 292 | 261 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 147 | 143 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 105 | 98 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 70 | $0 |
| 93458 | Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist | 53 | 53 | $0 |
Insurance plans in this area (ZIP 43017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | OH | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 53 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Internal Medicine, Family Practice, Urology | OH | |
| Physician Assistant | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| General Practice | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Physician Assistant | OH |
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