Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205201035 Individual Practitioner Female Practitioner

Calli Jean Van Dam , AGPCNP

Nurse Practitioner • Bethesda, MD

Professional Overview & Biography Verified Profile Summary

Calli Van Dam, AGPCNP is a registered healthcare professional specializing in Nurse Practitioner in Bethesda, MD. Practice services are available at 10215 FERNWOOD RD under active NPI credentials.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10215 Fernwood Rd
Ste 506

Bethesda, MD 208171184

Telephone 3015301010
Fax 3018978597
Associated Practice Facility / Clinic
🏢 Bethesda Surgery Center, Llc Facility NPI 1770572307

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Bethesda, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
51 Specialists

Practicing in Bethesda, MD (1277 Statewide)

Telehealth Adoption Rate
11.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
93.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
123 49 $27.00 $1.60
99213 Established patient office or other outpatient visit, typically 15 minutes
107 86 $136.00 $71.76
20610 Aspiration and/or injection of fluid from large joint
69 54 $192.35 $62.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
45 43 $150.00 $103.53
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
38 24 $620.00 $41.42
22614 Fusion of additional segment of spine
26 14 $971.00 $62.64
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach
19 19 $3625.00 $167.52
22612 Fusion of spine in lower back
18 18 $6177.00 $254.16
22845 Placement of stabilizing device to front, 2-3 spine bone segments
13 13 $1741.00 $117.09
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
11 11 $3000.00 $128.89

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License DC RN1032619

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
0024175551 (VA)
Commercial Insurance / Payer ID License
AC002241 (MD)

Secondary Practice Locations

2150 Pennsylvania Ave Nw

Washington, DC 200373201

Phone: 2027413300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mary Sadaya-Guillermo , PT

Physical Therapist

NPI 1013987080

Physical Therapist

NPI 1023352242

Physical Therapist, Doctor of Physical Therapy

Dr. Min Lu , MD

Orthopaedic Surgery

NPI 1043521768

Doctor of Medicine (M.D.)

Dr. Sridhar Durbhakula , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1053400366

Doctor of Medicine (M.D.)

Dr. Mahidhar Durbhakula , MD

Orthopaedic Surgery - Hand Surgery

NPI 1053584441

Doctor of Medicine (M.D.)

Dr. Andrew Holmes , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1073593208

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 10215 FERNWOOD RD, STE 506, BETHESDA, MD 208171184 (Tel: 3015301010)

📍
Updated Practice Location March 08, 2018

Registered at 10215 FERNWOOD RD, STE 506, BETHESDA, MD 208171184 (Tel: 3015301010)

📍
Updated Business Mailing Address March 08, 2018

Registered at 10215 FERNWOOD RD, STE 506, BETHESDA, MD 208171184 (Tel: 3015301010)

NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2018

Registered at 2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 200373201 (Tel: 2027413300)

📍
Updated Business Mailing Address February 12, 2018

Registered at 10215 FERNWOOD RD, STE 506, BETHESDA, MD 208171184 (Tel: 3015301010)

👤
Provider Name / Credentials Updated February 12, 2018

Recorded as CALLI VAN DAM, AGPCNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Nurse Practitioner (License #RN1032619 in DC)

NPI Profile Active December 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 04, 2015

Registered at 2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 200373201 (Tel: 2027413300)

📍
Updated Business Mailing Address December 04, 2015

Registered at 2150 PENNSYLVANIA AVE NW, WASHINGTON, DC 200373201 (Tel: 2027413300)

👤
Provider Name / Credentials Updated December 04, 2015

Recorded as CALLI VAN DAM, AGPCNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2015

Nurse Practitioner (License #RN1032619 in DC)

🟢
Initial NPI Registration & Enumeration December 04, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205201035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2015
Last Update: March 05, 2019
Sole Proprietor: No

Mailing Address

10215 Fernwood Rd, Ste 506

Bethesda, MD 208171184

Phone: 3015301010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.