MS. LAUREN MARGUERITE VANDENBERG (PA-C) – Surgical Physician Assistant, NPI 1083228639
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MS. LAUREN MARGUERITE VANDENBERG (PA-C)
701 S HEALTH PKWY
THREE RIVERS, MI 490938352
Phone: (269) 278-1145
Type: Location
10811 PORTAGE RD
PORTAGE, MI 490027316
Phone: (248) 444-0070
Type: Mailing
3640 FAWN COVE LN APT 9
PORTAGE, MI 490243715
Phone: (248) 444-0070
Type: Mailing
8120 Moorsbridge Rd Ste 101
Portage, MI 490247414
Phone: (269) 443-8454
Fax: (269) 443-8484
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 112 Open Payments records for all available years, with a total value of $4,787.
Total Amount is formed as General ($4,787) + Research ($0) + Ownership ($0) = $4,787.
Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Stryker Corporation ($2,797).
Total Amount
$4,787
General + Research + Ownership
Payments
112
Total payment records
General Amount
$4,787
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $2,797 |
| Lightbody Medical Technologies Inc | $1,133 |
| Arthrex, Inc. | $460 |
| DJO, LLC | $251 |
| Medwest Associates | $147 |
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: 2020-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201019000234 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | 15 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 15 | 12 | $0 |
Insurance plans in this area (ZIP 49093)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Internal Medicine | MI | |
| Family Practice | MI | |
| Pediatric Medicine, Infectious Disease | IN | |
| - | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Physician Assistant | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| P O D I A T R Y | MI |
Reviews
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