NPI Details
Mark Douglas Fish, D.O. is an orthopaedic surgery in Clive, IA with 25 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Mark Douglas Fish, D.O. NPI is 1548212368. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
12499 UNIVERSITY AVE
STE. 210
CLIVE, IA
ZIP 50325-288
Phone: (515) 440-2676
Fax: (515) 440-2677
The NPI 1548212368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- X-ray of knee, 4 or more views (HCPCS:73564)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of hip, 1 view (HCPCS:73501)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of knee, 3 views (HCPCS:73562)
- Replacement of knee joint, both sides of knee (HCPCS:27447)
- Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment (HCPCS:99453)
- Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
- Replacement of thigh bone and hip joint with prosthesis (HCPCS:27130)
- Mri scan of arm joint without contrast (HCPCS:73221)
- Mri scan of leg joint without contrast (HCPCS:73721)
- Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
- Shaving of part of shoulder bone and repair of ligament using an endoscope (HCPCS:29826)
- Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
- Repair of shoulder rotator cuff using an endoscope (HCPCS:29827)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Removal of both knee cartilages using an endoscope (HCPCS:29880)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
- Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/23/2013.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 02003044A | INDIANA | No |
| 2 | 207XS0114X | Orthopaedic Surgery | Adult Reconstructive Orthopaedic Surgery | 02003044A | INDIANA | No |
| 3 | 207XX0004X | Orthopaedic Surgery | Foot and Ankle Surgery | 02003044A | INDIANA | No |
| 4 | 207XX0005X | Orthopaedic Surgery | Sports Medicine | 02003044A | INDIANA | No |
| 5 | 207X00000X | Orthopaedic Surgery | | 3790 | IOWA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 4178250001 | OTHER | INDIANA | DME |
| 2 | 7305819 | OTHER | INDIANA | AETNA |
| 3 | 2655165 | OTHER | INDIANA | UNITED HEALTH CARE |
| 4 | P00325521 | OTHER | INDIANA | RR MEDICARE |
| 5 | I52359 | MEDICARE UPIN | | |
| 6 | 000000480577 | OTHER | INDIANA | BCBS |
| 7 | I19881 | MEDICARE ID-TYPE UNSPECIFIED | IOWA | |
| 8 | 075965 | OTHER | INDIANA | SIHO |
| 9 | 177100T | MEDICARE ID-TYPE UNSPECIFIED | INDIANA | |