David G Van de Wyngaerde, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

17528 Issued in AZ

Practice address

340 S Willard St
Cottonwood, AZ 86326-4126

Phone

(928) 639-7960

NPI assigned

Jun 30, 2005

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Orthopedic Surgery

Education

University of Arizona College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley View Physician Practices LLCGroup PAC ID 7810045143, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley View Medical Center Hospital, Fort Mohave, AZ, CCN 030117

Merit-based Incentive Payment System (MIPS)

Final score

84.06 of 100Reported as group

Quality

68.27

Promoting interoperability

100

Improvement activities

40

Cost

78.59

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.vandewyngaerde.1@19231.direct.athenahealth.com
• Direct secure messaging: dvandewyngaerde@brbj.gwaydirect.com
• FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Valley View Physician Practices LLC

  dba Orthopedic Institute of Arizona

  • Orthopaedic Surgery Physician
  • Fort Mohave, AZ
  • NPI 1033359583
  Medicare reassignment Care Compare group
• HRMC, LLC

  dba Cancer Care of Western Arizona

  • Hematology & Oncology Physician
  • Lake Havasu City, AZ
  • NPI 1003139387
  Medicare reassignment NPD
• HRMC, LLC

  dba Urgent Care of HRMC

  • Internal Medicine Physician
  • Lake Havasu City, AZ
  • NPI 1932610482
  NPD
• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1275564916
  NPD
• Lakeside Orthopedic Institute LLC

  dba Lakeside CT

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1528870243
  NPD
• Lakeside Orthopedic Institute, LLC

  • Orthopaedic Surgery Physician
  • Bullhead City, AZ
  • NPI 1245965581
  NPD
• Valley View Physician Practices LLC

  dba GI Institute of Arizona

  • Gastroenterology Physician
  • Fort Mohave, AZ
  • NPI 1134404742
  NPD
• Valley View Physician Practices, LLC

  dba Valley Veiw OB/GYN

  • Obstetrics & Gynecology Physician
  • Fort Mohave, AZ
  • NPI 1689127102
  NPD
• Oklahoma Oncology & Hematology PC

  • Hematology & Oncology Physician
  • Tulsa, OK
  • NPI 1295785392
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PHC-Fort Mohave Inc

  dba Valley View Medical Center

  • General Acute Care Hospital
  • Fort Mohave, AZ
  • NPI 1811086994
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1528065919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N BEAVER ST",
            "address_2": "ATTN: PAYER CREDENTIALING",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013118",
            "telephone_number": "928-213-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264126",
            "telephone_number": "928-639-7960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S South St",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "NC",
            "postal_code": "270304491",
            "country_code": "US",
            "telephone_number": "336-719-0011",
            "fax_number": "336-786-3752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN DE WYNGAERDE",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2013",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "201300063",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AZ",
            "license": "17528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology Providers of Northern Arizona
• Urololgy Providers of Northern Arizona
• Kevin K Vakili, MD
• Thomas Joseph Valente, M.D.
• Valley Verde Pain Physicians, PLLC
• Joyce Ann Vanderhorst, R.N.
• Juan Pablo Vargas Fonseca, MD
• Joy Veatch, PT
• Andrew H Vejnoska, CRNA
• Verde Community Healthcare LLC

• Orthopaedic Surgery Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Orthopaedic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.