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Dr. Nicholas Defauw

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NPI Number Detailed Information

Provider Information:

Name: Dr. Nicholas Defauw
Gender: M
Provider License Number If Given: 02005770A

NPI Information:

NPI: 1578791398
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/1/2009

Last Update Date: 4/21/2023

Reputation Report:

Provider Business Mailing Address:

Address: 1824 DORCHESTER CT STE A
Goshen, IN 46526
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 1824 DORCHESTER CT STE A
Goshen, IN 46526
Phone Number: 5745342548
Fax Number:

Provider Taxonomy:

Primary: 207QS0010X
Secondary (if any):
State: IN

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About Dr. Nicholas Defauw

Dr. Nicholas Defauw (DR. NICHOLAS DEFAUW ) is A Family Medicine Physician in Goshen, IN. The NPI Number for Dr. Nicholas Defauw is 1578791398.
The current location address for Dr. Nicholas Defauw is 1824 DORCHESTER CT STE A Goshen, IN 46526 and the contact number is and fax number is . The mailing address for Dr. Nicholas Defauw is 1824 DORCHESTER CT STE A Goshen, IN 46526- 5745342548 (mailing address contact number - ).
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Nicholas Defauw ?


Answer: The NPI Number for Dr. Nicholas Defauw is 1578791398

Where is Dr. Nicholas Defauw located?


Answer: Dr. Nicholas Defauw is located at 1824 DORCHESTER CT STE A Goshen, IN 46526.

What is the specialty for Dr. Nicholas Defauw ?


Answer: The Specialty of Dr. Nicholas Defauw is A Family Medicine Physician.

Are there any online reviews for Dr. Nicholas Defauw ?


Answer: Yes! Check It Now.

Are there any other health care providers in Goshen, IN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Nicholas Defauw

Number of HCPCS 40
Number of Medicare Beneficiaries 92
Number of Services 522
Total Submitted Charge Amount 63205
Total Medicare Allowed Amount 34201.96
Total Medicare Payment Amount 25660.87
Total Medicare Standardized Payment Amount 27482.37
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 1
Number of Medicare Beneficiaries With Drug Services 35
Number of Drug Services 164
Total Drug Submitted Charge Amount 492
Total Drug Medicare Allowed Amount 206.88
Total Drug Medicare Payment Amount 163.62
Total Drug Medicare Standardized Payment Amount 160.33
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 39
Number of Medicare Beneficiaries With Medical 92
Number of Medical Services 358
Total Medical Submitted Charge Amount 62713
Total Medical Medicare Allowed Amount 33995.08
Total Medical Medicare Payment Amount 25497.25
Total Medical Medicare Standardized Payment Amount 27322.04
Average Age of Beneficiaries 75
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 39
Number of Beneficiaries Age 75 to 84 29
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 67
Number of Male Beneficiaries 25
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 13
Number of Beneficiaries With Medicare Only Entitlement 79
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer
Percent (%) of Beneficiaries Identified With Heart Failure 0.13
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.26
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease
Percent (%) of Beneficiaries Identified With Depression 0.26
Percent (%) of Beneficiaries Identified With Diabetes 0.29
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.51
Percent (%) of Beneficiaries Identified With Hypertension 0.67
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.39
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.72
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.9413

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Sports Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 75
Number of Standardized 30-Day Fills 84
Aggregate Cost Paid for All Claims 940.76
Number of Day's Supply for All Claims 1558
Number of Medicare Beneficiaries 42
Number of Claims, Including Refills, for Beneficiaries Age 65+ 45
Including Refills, for Beneficiaries Age 65+ 50
Beneficiaries Age 65+ 580.61
Number of Day's Supply for All Claims for Beneficaries Age 65+ 955
Number of Medicare Beneficiaries Age 65+ 26
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst *
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 74
Aggregate Cost Paid for Generic Drugs 926.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst #
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 36
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 436.07
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 39
Aggregate Cost Paid for Claims Filled by 504.69
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 32
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 223.08
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 43
by Low-Income Subsidy 717.68
Total Claims of Opioid Drugs, Including 13
Aggregate Cost Paid for Opioid Drugs 81.91
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms 17.333333333
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 67.785714286
Number of Beneficiaries Age Less Than 65 16
Number of Beneficiaries Age 65 to 74 15
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 30
Number of Male Beneficiaries 12
Number of Non-Hispanic White 36
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 28
Average Hierarchical Condition Category 1.2275019434

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