Doctor profile · Federal record

Dr. Mary van Kooten, MD

Family Medicine Physician (CMS: Family Practice) · Adult Medicine Physician · Bloomington, IN

  • NPI 1619972601
  • Accepts Medicare
  • 24 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
550 S Landmark Ave
Bloomington, IN 474033239
(812) 355-6900
fax (812) 333-5978
Mailing address
250 N Shadeland Ave
Indianapolis, IN 462194959

Credentials & registration

NPPES · NUCC
NPI registered
June 2005 — 21 yrs on file
Profile last updated
September 9, 2023
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Indiana #01057928A
Medicaid
IN #200452880

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1619972601. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
388
Distinct HCPCS
5
Medicare allowed
$45,428
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 207 176 $118
99213 Established patient office or other outpatient visit, 20-29 minutes 101 86 $84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 33 33 $281
G0009 Administration of pneumococcal vaccine 33 33 $25
99215 Established patient office or other outpatient visit, 40-54 minutes 14 13 $167

In context: peer comparison

Among 15 peers in Bloomington Family Medicine Physician, average services per provider: 129. This provider delivers 3.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
2,263
Patients
708
Total drug cost
$25,341
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 344 105 $3,285
Lisinopril Generic 242 83 $1,827
Levothyroxine Sodium Generic 238 68 $3,166
Omeprazole Generic 196 54 $2,425
Amlodipine Besylate Generic 192 58 $1,435
Losartan Potassium Generic 133 50 $1,456
Metformin Hcl Generic 123 43 $1,207
Gabapentin Generic 119 36 $1,826
Simvastatin Generic 113 42 $775
Pantoprazole Sodium Generic 103 33 $1,334

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary van Kooten's medical specialty?
Dr. Mary van Kooten practices Family Medicine Physician in Bloomington, IN.
Where does Dr. Mary van Kooten practice?
Dr. Mary van Kooten practices at 550 S Landmark Ave, Bloomington, IN 474033239. Office phone: 8123556900.
What is Dr. Mary van Kooten's NPI?
Dr. Mary van Kooten's National Provider Identifier (NPI) is 1619972601, issued by NPPES.
Does Dr. Mary van Kooten accept Medicare assignment?
Yes. Dr. Mary van Kooten accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mary van Kooten commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS 90677). Source: CMS Medicare Physician & Other Practitioners file.