DWAYNE P VANDERBERG (M.D.) – Internal Medicine Physician, NPI 1225012008
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
21,511 INTERNAL MEDICINE in CA
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Provider Addresses for DWAYNE P VANDERBERG (M.D.)
PO BOX AD
YUBA CITY, CA 959921396
Phone: (800) 313-0111
Fax: (530) 751-1237
Type: Mailing
4941, Olivehurst Avenue, Olivehurst, Yuba County, California, 95961, United States
OLIVEHURST, CA 959614225
Phone: (530) 743-4611
Fax: (530) 743-5770
Type: Location
PO BOX A D
YUBA CITY, CA 959921396
Phone: (530) 751-3769
Fax: (530) 751-1237
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $333.
Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.
Last reported payment date: 2024-10-03 • Largest payer in this snapshot: ABBVIE INC. ($252).
Total Amount
$333
General + Research + Ownership
Payments
17
Total payment records
General Amount
$333
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $252 |
| PFIZER INC. | $44 |
| Hologic Sales and Service, LLC | $21 |
| Xeris Pharmaceuticals, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041118000564 | I | Internal Medicine | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 243 | 88 | $0 |
Insurance plans in this area (ZIP 95992)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Geriatric Medicine | NY | |
| Clinical Social Worker | CA | |
| - | MA | |
| C H I R O P R A C T I C | CA | |
| C H I R O P R A C T I C | CA | |
| - | MI | |
| Internal Medicine | CA | |
| - | CA | |
| Rheumatology, Internal Medicine | CA | |
| Emergency Medicine, Family Practice | CA |
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