JOHN M III VANDEREN (MD) – Clinical Cardiac Electrophysiology Physician, NPI 1811986094

JOHN M III VANDEREN (MD) is a healthcare provider. based in Ashland, Kentucky. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. 27105 (KY). The NPI Number for JOHN M III VANDEREN (MD) is 1811986094

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN M III VANDEREN (MD)
NPI
1811986094
Phone
(606) 324-4745
Address
PO BOX 2379
Enumeration Date
19 October 2005
Last Update Date
28 February 2014

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6063270224
Graduation Year
1983 (43 years ago)
PAC ID
4082636469
Group Practice PAC ID
6103968029
Professional Enrollment ID
I20090211000023
Address ID
KY412401804PA354XXTRAI400
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

74 CARDIAC ELECTROPHYSIOLOGY in KY

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Provider Addresses for JOHN M III VANDEREN (MD)

  • Ashland Post Office, 120, North 1st Street, Ashland, Jackson County, Oregon, 97520, United States

    ASHLAND, KY 411052379

    Phone: (606) 324-4745

    Fax: (606) 324-4941

    Type: Mailing

  • 613, 23rd Street, Geigers Crossing, Ashland, Boyd County, Kentucky, 41101, United States

    STE 230

    ASHLAND, KY 411012876

    Phone: (606) 324-4745

    Fax: (606) 324-4941

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $782.

Total Amount is formed as General ($782) + Research ($0) + Ownership ($0) = $782.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($177).

Total Amount

$782

General + Research + Ownership

Payments

38

Total payment records

General Amount

$782

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2009-02-11

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
I20090211000023ICardiac ElectrophysiologyKYTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only513369$0
99213Established patient office or other outpatient visit, 20-29 minutes442291$0
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days11098$0
93280Programming of dual lead pacemaker system10078$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days7266$0
View full utilization report →

Insurance plans in this area (ZIP 41105)

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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: 6103968029View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YKY
Nurse PractitionerKY
Nurse PractitionerKY
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
-KY
Interventional CardiologyKY
Pulmonary Disease, Critical Care (Intensivists)KY
Plastic And Reconstructive SurgeryNY
Vascular Surgery, General SurgeryKY

Reviews

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Frequently asked questions

How do I look up JOHN M III VANDEREN (MD) by NPI?
Use NPI 1811986094 when you need to reference JOHN M III VANDEREN (MD) in forms, claims, or directories.
Is JOHN M III VANDEREN (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is JOHN M III VANDEREN (MD)?
The page reflects Clinical Cardiac Electrophysiology Physician for JOHN M III VANDEREN (MD). Clinical services aligned with this taxonomy classification.
Where is JOHN M III VANDEREN (MD)'s primary listing?
We display Ashland, Kentucky because that is what the record indicates for JOHN M III VANDEREN (MD).
Is JOHN M III VANDEREN (MD) a real provider?
This page reflects official NPPES data for NPI 1811986094. Always confirm identity and privileges with the practice and licensing boards.

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