KATHLEEN URBAN DEHORN (MD) – Ophthalmology Physician, NPI 1215143797
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
844 OPHTHALMOLOGY in MI
Provider Addresses for KATHLEEN URBAN DEHORN (MD)
2505 E PARIS AVE SE STE 100
GRAND RAPIDS, MI 495466100
Phone: (616) 285-1200
Fax: (616) 940-0864
Type: Mailing
5030 CASCADE RD SE
GRAND RAPIDS, MI 495463725
Phone: (616) 954-2020
Fax: (616) 949-0408
Type: Mailing
2505 EAST PARIS AVE SE STE 100
GRAND RAPIDS, MI 495466100
Phone: (616) 285-1200
Fax: (616) 940-0864
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $1,585.
Total Amount is formed as General ($1,585) + Research ($0) + Ownership ($0) = $1,585.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alimera Sciences, Inc. ($780).
Total Amount
$1,585
General + Research + Ownership
Payments
31
Total payment records
General Amount
$1,585
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
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alimera Sciences, Inc. | $780 |
| Regeneron Healthcare Solutions, Inc. | $261 |
| Biogen, Inc. | $141 |
| Apellis Pharmaceuticals, Inc. | $89 |
| Genentech USA, Inc. | $68 |
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: 2015-09-21
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 |
|---|---|---|---|---|
| I20150921001830 | I | Ophthalmology | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 9,780 | 27 | $0 |
| J2778 | Injection, ranibizumab, 0.1 mg | 1,960 | 65 | $0 |
| 92134 | Imaging of retina | 1,833 | 457 | $0 |
| 67028 | Injection of drug into eye | 1,520 | 237 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 1,296 | 131 | $0 |
Insurance plans in this area (ZIP 49546)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | CA | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | OH | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P H T H A L M O L O G Y | MI |
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