MR. DONALD JUDE VENNEKOTTER (M.D.) – Surgery Physician, NPI 1376510958

MR. DONALD JUDE VENNEKOTTER (M.D.) is a healthcare provider. based in Jasper, Indiana. specializing in Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 01041321 (IN). The NPI Number for MR. DONALD JUDE VENNEKOTTER (M.D.) is 1376510958

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MR. DONALD JUDE VENNEKOTTER (M.D.)
NPI
1376510958
Phone
(812) 482-4494
Address
721 W 13TH ST
Enumeration Date
2 March 2006
Last Update Date
8 September 2008

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
8124824494
Graduation Year
1988 (38 years ago)
PAC ID
3173622230
Group Practice PAC ID
8921107087
Professional Enrollment ID
I20110929000598
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DONALD JUDE VENNEKOTTER (M.D.)

  • West 13th Street, Joplin, Jasper County, Missouri, 64801, United States

    SUITE 220

    JASPER, IN 475461817

    Phone: (812) 482-4494

    Fax: (812) 482-4499

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-09-29

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
I20110929000598IGeneral SurgeryINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47546)

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Provider's Procedures

MR. DONALD JUDE VENNEKOTTER (M.D.) performs procedures in Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYIN45378Diagnostic examination of large bowel using an endoscope1212
GENERAL SURGERYIN45385Removal of polyps or growths of large bowel using an endoscope3939

Reviews

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Frequently asked questions

What identifier follows MR. DONALD JUDE VENNEKOTTER (M.D.) across health systems?
The NPI 1376510958 uniquely identifies MR. DONALD JUDE VENNEKOTTER (M.D.) in U.S. healthcare data.
Is MR. DONALD JUDE VENNEKOTTER (M.D.)'s NPI status active today?
Active status means MR. DONALD JUDE VENNEKOTTER (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits MR. DONALD JUDE VENNEKOTTER (M.D.)?
NPPES ties MR. DONALD JUDE VENNEKOTTER (M.D.) to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. DONALD JUDE VENNEKOTTER (M.D.)?
MR. DONALD JUDE VENNEKOTTER (M.D.) shows a connection to Jasper, Indiana in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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