DOUGLAS J VAN PUTTEN (MD,FACS) – Ophthalmology Physician, NPI 1851378558

DOUGLAS J VAN PUTTEN (MD,FACS) is a healthcare provider. based in Michigan city, Indiana. specializing in OPHTHALMOLOGY. They hold the professional credentials MD,FACS. They hold a License No. 01039408A (IN). The NPI Number for DOUGLAS J VAN PUTTEN (MD,FACS) is 1851378558

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS J VAN PUTTEN (MD,FACS)
NPI
1851378558
Phone
(219) 872-7546
Address
8865 W 400 N
Enumeration Date
23 December 2005
Last Update Date
25 September 2023

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
4688642796
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20210127001799
Address ID
CA923543450LO11370STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

328 OPHTHALMOLOGY in IN

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Provider Addresses for DOUGLAS J VAN PUTTEN (MD,FACS)

  • West, Shelby Charter Township, Macomb County, Michigan, 48315, United States

    MICHIGAN CITY, IN 463609222

    Phone: (219) 872-7546

    Fax: (219) 872-2399

    Type: Mailing

  • 11370 ANDERSON ST # 1800

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 84 Open Payments records for all available years, with a total value of $45,413.

Total Amount is formed as General ($45,413) + Research ($0) + Ownership ($0) = $45,413.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Amgen Inc. ($23,436).

Total Amount

$45,413

General + Research + Ownership

Payments

84

Total payment records

General Amount

$45,413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2021-01-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20040922000938IOphthalmologyINTBD
I20200518003220IOphthalmologyNVTBD
I20210127001799IOphthalmologyCATBD

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 minutes187147$0
99213Established patient office or other outpatient visit, 20-29 minutes7571$0
92083Exam of visual field with extended testing3838$0
99215Established patient office or other outpatient visit, 40-54 minutes3130$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 46360)

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Provider's Procedures

DOUGLAS J VAN PUTTEN (MD,FACS) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIN14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1916

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: 1153227814View full group profile
NameSpecialtyState
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Certified Registered Nurse Anesthetist (Crna)CA
Critical Care (Intensivists), General SurgeryCA
Surgical Oncology, General SurgeryIL
A N E S T H E S I O L O G YCA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Does DOUGLAS J VAN PUTTEN (MD,FACS) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DOUGLAS J VAN PUTTEN (MD,FACS) uses 1851378558.
Does the file indicate DOUGLAS J VAN PUTTEN (MD,FACS) is practicing under active NPI?
Directory data currently reports DOUGLAS J VAN PUTTEN (MD,FACS) as active.
What taxonomy line describes DOUGLAS J VAN PUTTEN (MD,FACS)?
For research purposes, treat DOUGLAS J VAN PUTTEN (MD,FACS) as Ophthalmology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DOUGLAS J VAN PUTTEN (MD,FACS) list a practice location?
Patients near Michigan City, Indiana may find DOUGLAS J VAN PUTTEN (MD,FACS) in results; validate coverage separately.
Is the information about DOUGLAS J VAN PUTTEN (MD,FACS) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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DOUGLAS J VAN PUTTEN MD FACS INC

Ophthalmology Physician
1529 MOMENTUM PL
NPI: 1548439219