DR. JESSE L VANLE (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1366435224

DR. JESSE L VANLE (M.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in THORACIC SURGERY, CARDIAC SURGERY. They hold the professional credentials M.D.. They hold a License No. 036109293 (IL). The NPI Number for DR. JESSE L VANLE (M.D.) is 1366435224

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSE L VANLE (M.D.)
NPI
1366435224
Phone
(309) 662-5506
Address
1505 EASTLAND DR
Enumeration Date
25 August 2005
Last Update Date
1 November 2012

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
3096625506
Graduation Year
1994 (32 years ago)
PAC ID
7214931583
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20060830000118
Address ID
IL617013534BL1505XDRXX300
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

241 THORACIC SURGERY in IL

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Provider Addresses for DR. JESSE L VANLE (M.D.)

  • 1505, Eastland Drive, Bloomington, McLean County, Illinois, 61704, United States

    SUITE 210

    BLOOMINGTON, IL 617017906

    Phone: (309) 662-5506

    Fax: (309) 662-5443

    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 27 Open Payments records for all available years, with a total value of $2,106.

Total Amount is formed as General ($2,106) + Research ($0) + Ownership ($0) = $2,106.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Penumbra, Inc. ($1,086).

Total Amount

$2,106

General + Research + Ownership

Payments

27

Total payment records

General Amount

$2,106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2006-08-30

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
I20060830000118IThoracic SurgeryILTBD

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 minutes162128$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes8873$0
99204New patient office or other outpatient visit, 45-59 minutes8484$0
99214Established patient office or other outpatient visit, 30-39 minutes5047$0
75716Review by radiologist of both arms or legs arteries image4747$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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Provider's Procedures

DR. JESSE L VANLE (M.D.) performs procedures in THORACIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
THORACIC SURGERYIL93922Ultrasound study of arteries of both arms and legs9795

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: 3678889789View full group profile

Reviews

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Frequently asked questions

How do I look up DR. JESSE L VANLE (M.D.) by NPI?
Use NPI 1366435224 when you need to reference DR. JESSE L VANLE (M.D.) in forms, claims, or directories.
Is DR. JESSE L VANLE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. JESSE L VANLE (M.D.)?
The page reflects Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for DR. JESSE L VANLE (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. JESSE L VANLE (M.D.) practice in Illinois?
You will see Bloomington, Illinois on file for DR. JESSE L VANLE (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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