Mark Douglas Fish, DO - Medicare Orthopedic Surgery in Clive, IA

  1. Home
  2. Orthopedic Surgery
  3. IA
  4. Clive
Mark Douglas Fish, DO is a medicare enrolled "Orthopaedic Surgery" physician in Clive, Iowa. He graduated from medical school in 2001 and has 25 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Knoxville Community Hospital Inc, Capital Orthopaedics And Sports Medicine Pc, Broadlawns Medical Center and his current practice location is 12499 University Ave, Ste. 210, Clive, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 440-2676.

Mark Douglas Fish is licensed to practice in Iowa (license number 3790) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548212368.

Contact Information

Mark Douglas Fish, DO
12499 University Ave, Ste. 210,
Clive, IA 50325-8288
(515) 440-2676
(515) 440-2677

Map and Direction




Physician's Profile

Full NameMark Douglas Fish
GenderMale
SpecialityOrthopedic Surgery
Experience25 Years
Location12499 University Ave, Clive, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Douglas Fish graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1548212368
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 01/23/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 1951312305
  • Enrollment ID: I20070509000079

Medical Identifiers

Medical identifiers for Mark Douglas Fish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548212368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 3790 (Iowa)Primary
207X00000XOrthopaedic Surgery 02003044A (Indiana)Secondary
207XS0114XOrthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery 02003044A (Indiana)Secondary
207XX0004XOrthopaedic Surgery - Foot And Ankle Surgery 02003044A (Indiana)Secondary
207XX0005XOrthopaedic Surgery - Sports Medicine 02003044A (Indiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Knoxville Hospital & ClinicsKnoxville, IAHospital
Broadlawns Medical CenterDes moines, IAHospital
Mercyone Des Moines Medical CenterDes moines, IAHospital
Dallas County HospitalPerry, IAHospital
Boone County HospitalBoone, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Knoxville Community Hospital Inc660878705634
Capital Orthopaedics And Sports Medicine Pc347669155119
Broadlawns Medical Center3678466166302

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Douglas Fish allows following entities to bill medicare on his behalf.
Entity NameKnoxville Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770591661
PECOS PAC ID: 6608787056
Enrollment ID: O20031119000804
Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913
Entity NameBoone County Comprehensive Specialty Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316982200
PECOS PAC ID: 8022012293
Enrollment ID: O20060830000218
Entity NameKnoxville Community Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1922087915
PECOS PAC ID: 6608787056
Enrollment ID: O20061104000267
Entity NameBoone County Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1467434225
PECOS PAC ID: 7416840335
Enrollment ID: O20061104000517
Entity NameCapital Orthopaedics and Sports Medicine PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932432457
PECOS PAC ID: 3476691551
Enrollment ID: O20091110000451
Entity NameCosm LLP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972384519
PECOS PAC ID: 3971076050
Enrollment ID: O20260622001456

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Douglas Fish is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Douglas Fish, DO
12499 University Ave, Ste. 210,
Clive, IA 50325-8288

Ph: (515) 440-2676		Mark Douglas Fish, DO
12499 University Ave, Ste. 210,
Clive, IA 50325-8288

Ph: (515) 440-2676

Reviews and Comments


Orthopaedic Surgery Doctors in Clive, IA

Dr. Brian M Crites, M.D.
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 12499 University Ave, Suite 210, Clive, IA 50325
Phone: 515-440-2676    Fax: 515-440-2677
Ross G Doehrmann, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12499 University Ave Ste 210, Clive, IA 50325
Phone: 515-440-2676    Fax: 515-440-2677
Dr. Abdalnasser H M Zayed, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12499 University Ave Ste 210, Clive, IA 50325
Phone: 515-440-2676    
Todd Charles Peterson, D.O.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 12499 University Ave, Clive, IA 50325
Phone: 515-440-2676    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.