DR. MICHAEL VAN RIESBERG (M.D.) – Otolaryngology Physician, NPI 1407831191

DR. MICHAEL VAN RIESBERG (M.D.) is a healthcare provider. based in Pensacola, Florida. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. ME 75687 (FL). The NPI Number for DR. MICHAEL VAN RIESBERG (M.D.) is 1407831191

Main info

Male
41 Years Of Experience
Name
DR. MICHAEL VAN RIESBERG (M.D.)
NPI
1407831191
Phone
(850) 476-0700
Address
2411 EXECUTIVE PLAZA RD
Enumeration Date
14 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8504760700
Graduation Year
1985 (41 years ago)
PAC ID
5496770059
Group Practice PAC ID
6305984402
Professional Enrollment ID
I20051012000814
Address ID
FL325032344PE4900XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

732 OTOLARYNGOLOGY in FL

Provider Addresses for DR. MICHAEL VAN RIESBERG (M.D.)

  • 2411 EXECUTIVE PLAZA RD

    PENSACOLA, FL 325048269

    Phone: (850) 476-0700

    Fax: (850) 476-4300

    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 15 Open Payments records for all available years, with a total value of $381.

Total Amount is formed as General ($381) + Research ($0) + Ownership ($0) = $381.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($133).

Total Amount

$381

General + Research + Ownership

Payments

15

Total payment records

General Amount

$381

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2005-10-12

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
I20051012000814IOtolaryngologyFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes308174$0
99204New patient office or other outpatient visit, 45-59 minutes183183$0
69210Removal of impacted ear wax7046$0
99213Established patient office or other outpatient visit, 20-29 minutes6653$0
70486Ct scan of face without contrast5555$0
View full utilization report →

Insurance plans in this area (ZIP 32504)

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Provider's Procedures

DR. MICHAEL VAN RIESBERG (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYFL92567Eardrum testing using ear probe1212

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: 6305984402View full group profile
NameSpecialtyState
Qualified AudiologistFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MICHAEL VAN RIESBERG (M.D.)?
NPI 1407831191 is assigned to DR. MICHAEL VAN RIESBERG (M.D.) under the national enumeration system.
Is DR. MICHAEL VAN RIESBERG (M.D.)'s NPI currently valid?
The extract we use shows DR. MICHAEL VAN RIESBERG (M.D.) as active.
What does DR. MICHAEL VAN RIESBERG (M.D.) treat or focus on?
Patients typically see DR. MICHAEL VAN RIESBERG (M.D.) under the specialty Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. MICHAEL VAN RIESBERG (M.D.)?
We surface Pensacola, Florida for DR. MICHAEL VAN RIESBERG (M.D.) based on available NPPES addresses.
Is DR. MICHAEL VAN RIESBERG (M.D.) a real provider?
This page reflects official NPPES data for NPI 1407831191. Always confirm identity and privileges with the practice and licensing boards.

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