DR. DONALD HENRY VLIEGENTHART (M.D.) – Orthopaedic Surgery of the Spine Physician, NPI 1003964222

DR. DONALD HENRY VLIEGENTHART (M.D.) is a healthcare provider. based in Melbourne, Florida. specializing in ORTHOPEDIC SURGERY, SPORTS MEDICINE, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. ME36928 (FL). The NPI Number for DR. DONALD HENRY VLIEGENTHART (M.D.) is 1003964222

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. DONALD HENRY VLIEGENTHART (M.D.)
NPI
1003964222
Phone
(321) 725-2225
Address
709 S. HARBOR CITY BOULEVARD
Enumeration Date
5 January 2007
Last Update Date
16 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214994646
Graduation Year
1979 (47 years ago)
PAC ID
3678635083
Group Practice PAC ID
9931516804
Professional Enrollment ID
I20081218000586
Address ID
FL329011906ME709XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,916 ORTHOPEDIC SURGERY in FL

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Provider Addresses for DR. DONALD HENRY VLIEGENTHART (M.D.)

  • 709, South Harbor City Boulevard, Melbourne, Brevard County, Florida, 32901, United States

    SUITE 100

    MELBOURNE, FL 329011936

    Phone: (321) 725-2225

    Fax: (321) 308-0635

    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 $36.

Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: VERTEX PHARMACEUTICALS INCORPORATED ($22).

Total Amount

$36

General + Research + Ownership

Payments

2

Total payment records

General Amount

$36

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

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: 2008-12-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081218000586IOrthopedic SurgeryFLTBD

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
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg63138$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg54837$0
J1885Injection, ketorolac tromethamine, per 15 mg31448$0
99214Established patient office or other outpatient visit, 30-39 minutes26598$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level4125$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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Provider's Procedures

DR. DONALD HENRY VLIEGENTHART (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYFL20610Aspiration and/or injection of large joint or joint capsule3712

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: 9931516804View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationIL
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up DR. DONALD HENRY VLIEGENTHART (M.D.) by NPI?
Use NPI 1003964222 when you need to reference DR. DONALD HENRY VLIEGENTHART (M.D.) in forms, claims, or directories.
Is DR. DONALD HENRY VLIEGENTHART (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. DONALD HENRY VLIEGENTHART (M.D.) treat or focus on?
Patients typically see DR. DONALD HENRY VLIEGENTHART (M.D.) under the specialty Orthopaedic Surgery of the Spine Physician. Clinical services aligned with this taxonomy classification.
Does DR. DONALD HENRY VLIEGENTHART (M.D.) practice in Florida?
You will see Melbourne, Florida on file for DR. DONALD HENRY VLIEGENTHART (M.D.) alongside any extra practice locations.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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