DR. ROBERT JOHN JR. BETTENDORF (M.D.) – Anesthesiology Physician, NPI 1043290786

DR. ROBERT JOHN JR. BETTENDORF (M.D.) is a healthcare provider. based in Ann arbor, Michigan. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. ME 89944 (FL). The NPI Number for DR. ROBERT JOHN JR. BETTENDORF (M.D.) is 1043290786

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT JOHN JR. BETTENDORF (M.D.)
NPI
1043290786
Phone
(734) 647-5299
Address
3621 S STATE ST
Enumeration Date
19 January 2006
Last Update Date
5 December 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4688861636
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20101203000244
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,714 ANESTHESIOLOGY in MI

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Provider Addresses for DR. ROBERT JOHN JR. BETTENDORF (M.D.)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    ANN ARBOR, MI 481095000

    Phone: (734) 936-4000

    Type: Location

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: 2010-12-03

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
I20101203000244IAnesthesiologyMITBD

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
00142Anesthesia for lens surgery416375$0
00140Anesthesia for other procedure on eye271248$0
00104Anesthesia for electroshock therapy7531$0
00145Anesthesia for retinal surgery4241$0
00144Anesthesia for procedure on eye for corneal transplant3432$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

How is DR. ROBERT JOHN JR. BETTENDORF (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. ROBERT JOHN JR. BETTENDORF (M.D.) with NPI 1043290786.
Is DR. ROBERT JOHN JR. BETTENDORF (M.D.) still practicing?
DR. ROBERT JOHN JR. BETTENDORF (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ROBERT JOHN JR. BETTENDORF (M.D.)?
For research purposes, treat DR. ROBERT JOHN JR. BETTENDORF (M.D.) as Anesthesiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ROBERT JOHN JR. BETTENDORF (M.D.)?
DR. ROBERT JOHN JR. BETTENDORF (M.D.)'s geographic hint is Ann Arbor, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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