JON ROBERT VANDERWEELE (DO) – Otolaryngology Physician, NPI 1598737801
Otolaryngology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
160 OTOLARYNGOLOGY in CT
Provider Addresses for JON ROBERT VANDERWEELE (DO)
148 TROUT AVENUE
NAVAL SUBMARINE MEDICINE RESEARCH LABORATORY BLDG 148
GROTON, CT 063495900
Phone: (860) 694-2377
Fax: (860) 694-3590
Type: Location
571 SAINT JOSEPHS BLVD
FL 2
ELMIRA, NY 149013230
Phone: (607) 271-2050
Type: Mailing
15 S MAIN ST STE 240
JAMESTOWN, NY 147016627
Phone: (716) 483-0816
Fax: (716) 483-0844
Type: Location
140 W 6TH ST STE 210
OSWEGO, NY 131262554
Phone: (315) 349-5828
Fax: (315) 349-5829
Type: Mailing
140 W 6TH ST
OSWEGO, NY 131262525
Phone: (315) 349-5826
Fax: (315) 349-5829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $463.
Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: GENZYME CORPORATION ($125).
Total Amount
$463
General + Research + Ownership
Payments
11
Total payment records
General Amount
$463
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $125 |
| Integra LifeSciences Corporation | $113 |
| Acclarent, Inc | $58 |
| Stryker Corporation | $58 |
| GlaxoSmithKline, LLC. | $56 |
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: 2026-01-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181114002955 | I | Otolaryngology | NY | TBD |
| I20260116001782 | I | Otolaryngology | ID | 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 |
|---|---|---|---|---|
| 69210 | Removal of impacted ear wax | 85 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 51 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 64 | 64 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
Insurance plans in this area (ZIP 06349)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | NY | |
| Physician Assistant | NY | |
| Internal Medicine, Nephrology | NY | |
| Family Practice | NY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Family Practice | WI | |
| - | NY | |
| - | NY | |
| - | NY | |
| Emergency Medicine | NY |
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