DR. MICHAEL J VANWAGNER (D.O.) – Orthopaedic Surgery Physician, NPI 1639551559
Orthopaedic Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,916 ORTHOPEDIC SURGERY in FL
Provider Addresses for DR. MICHAEL J VANWAGNER (D.O.)
4500 San Pablo Rd S
Jacksonville, FL 322241865
Phone: (904) 953-2000
Type: Location
3537 W Front St Ste E
Traverse City, MI 496847943
Phone: (231) 935-5880
Fax: (231) 935-3464
Type: Location
419 S Coral St
Kalkaska, MI 496462503
Phone: (989) 258-7777
Fax: (989) 258-7786
Type: Location
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
8872 Professional Dr Ste B
Cadillac, MI 496018482
Phone: (231) 779-0320
Fax: (231) 779-1367
Type: Location
1105 Sixth St
Traverse City, MI 496842345
Phone: (231) 935-5000
Type: Location
2147 PROFESSIONAL DR
GAYLORD, MI 497350003
Phone: (989) 732-1753
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $447.
Total Amount is formed as General ($447) + Research ($0) + Ownership ($0) = $447.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($297).
Total Amount
$447
General + Research + Ownership
Payments
8
Total payment records
General Amount
$447
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $297 |
| Ferring Pharmaceuticals Inc. | $38 |
| Bioventus LLC | $33 |
| Pacira Pharmaceuticals Incorporated | $31 |
| Nevro Corp. | $28 |
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: 2021-06-15
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 |
|---|---|---|---|---|
| I20200609000795 | I | Orthopedic Surgery | FL | TBD |
| I20210615001312 | I | Orthopedic Surgery | MI | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 248 | 49 | $0 |
| 73564 | X-ray of knee, 4 or more views | 131 | 116 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 126 | 108 | $0 |
| 73562 | X-ray of knee, 3 views | 121 | 89 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 107 | 107 | $0 |
Insurance plans in this area (ZIP 32224)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| - | MI | |
| N E U R O S U R G E R Y | MI | |
| Internal Medicine | IL | |
| Family Practice | MI |
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