DR. MICHAEL WOLTERBEEK (DPM) – Podiatrist, NPI 1497767396

DR. MICHAEL WOLTERBEEK (DPM) is a healthcare provider. based in Modesto, California. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. E4215 (CA). The NPI Number for DR. MICHAEL WOLTERBEEK (DPM) is 1497767396

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL WOLTERBEEK (DPM)
NPI
1497767396
Phone
(209) 572-3613
Address
609 E ORANGEBURG AVE
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
2095723224
Graduation Year
1997 (29 years ago)
PAC ID
7517017189
Group Practice PAC ID
0042373862
Professional Enrollment ID
I20090603000167
Address ID
CA953505512MO609XXAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,833 PODIATRY in CA

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Provider Addresses for DR. MICHAEL WOLTERBEEK (DPM)

  • 609, East Orangeburg Avenue, Modesto, Stanislaus County, California, 95350, United States

    SUITE 201

    MODESTO, CA 953505580

    Phone: (209) 572-3613

    Fax: (209) 572-4528

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $59.

Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: Ethicon US, LLC ($35).

Total Amount

$59

General + Research + Ownership

Payments

2

Total payment records

General Amount

$59

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-06-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090603000167IPodiatryCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes202115$0
97597Removal of tissue from wound, 20.0 sq cm or less14336$0
99203New patient office or other outpatient visit, 30-44 minutes138138$0
99212Established patient office or other outpatient visit, 10-19 minutes8050$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg5721$0
View full utilization report →

Insurance plans in this area (ZIP 95350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042373862View full group profile
NameSpecialtyState
Orthopedic Surgery, Hand SurgeryCA
Orthopedic SurgeryCA
Occupational Therapist In Private PracticeCA
Orthopedic SurgeryWA
Occupational Therapist In Private PracticeNV
Orthopedic SurgeryCA
Orthopedic SurgeryCA
-CA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is DR. MICHAEL WOLTERBEEK (DPM)'s NPI number?
DR. MICHAEL WOLTERBEEK (DPM)'s NPI is 1497767396 — the number used across U.S. healthcare to identify this provider.
Would DR. MICHAEL WOLTERBEEK (DPM) appear as active to a payer?
You can treat DR. MICHAEL WOLTERBEEK (DPM) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. MICHAEL WOLTERBEEK (DPM)'s focus?
For DR. MICHAEL WOLTERBEEK (DPM), the primary taxonomy reads as Podiatrist. Clinical services aligned with this taxonomy classification.
Where in California is DR. MICHAEL WOLTERBEEK (DPM) registered?
Use Modesto, California as the headline location for DR. MICHAEL WOLTERBEEK (DPM) here.
When was this NPI issued?
Enumeration for DR. MICHAEL WOLTERBEEK (DPM) is noted as August 12, 2006 where the registry provides it.

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