DR. VINSON CONSOLACION ULEP (D.O.) – Surgery Physician, NPI 1013149707

DR. VINSON CONSOLACION ULEP (D.O.) is a healthcare provider. based in Manistee, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101016161 (MI). The NPI Number for DR. VINSON CONSOLACION ULEP (D.O.) is 1013149707

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. VINSON CONSOLACION ULEP (D.O.)
NPI
1013149707
Phone
(276) 666-7723
Address
1293 E PARKDALE AVE
Enumeration Date
14 August 2009
Last Update Date
25 September 2018

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9063373100
Graduation Year
2004 (22 years ago)
PAC ID
7315093655
Group Practice PAC ID
8123912011
Professional Enrollment ID
I20141112002581
Address ID
MI499132134LA205XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

935 GENERAL SURGERY in VA

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Provider Addresses for DR. VINSON CONSOLACION ULEP (D.O.)

  • 1293, East Parkdale Avenue, Parkdale, Manistee Township, Manistee County, Michigan, 49660, United States

    STE 2300

    MANISTEE, MI 496608904

    Phone: (276) 666-7723

    Fax: (276) 670-7046

    Type: Mailing

  • 319, Hospital Drive, Martinsville, Virginia, 24112, United States

    STE 210

    MARTINSVILLE, VA 241121929

    Phone: (276) 666-7723

    Fax: (276) 670-7046

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-07-15 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-15

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: 2009-09-29

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
I20090929000009IGeneral SurgeryMITBD

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 minutes5741$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk2424$0
99441Telephone medical discussion with physician, 5-10 minutes2323$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 49660)

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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: 8123912011View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryMI
-MI
-MI
Family PracticeMI
Diagnostic RadiologyMI
Family PracticeMI
-MI
Internal Medicine, Pulmonary DiseaseVA
D E R M A T O L O G YMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. VINSON CONSOLACION ULEP (D.O.)?
NPI 1013149707 is assigned to DR. VINSON CONSOLACION ULEP (D.O.) under the national enumeration system.
Does this profile mean DR. VINSON CONSOLACION ULEP (D.O.) is currently active?
Yes — DR. VINSON CONSOLACION ULEP (D.O.) appears active in the national provider directory.
What field does DR. VINSON CONSOLACION ULEP (D.O.) work in?
You can think of DR. VINSON CONSOLACION ULEP (D.O.) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. VINSON CONSOLACION ULEP (D.O.)?
The page summarizes Manistee, Michigan for DR. VINSON CONSOLACION ULEP (D.O.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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