DR. KEVIN BENJAMIN VANDENBOSCH (O.D.) – Optometrist, NPI 1215299367
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
Provider Addresses for DR. KEVIN BENJAMIN VANDENBOSCH (O.D.)
4615 BREMER ST SW
GRANDVILLE, MI 494182239
Phone: (616) 240-5632
Type: Mailing
1116 W GANSON ST
JACKSON, MI 492024240
Phone: (877) 852-8463
Fax: (517) 782-5166
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $441.
Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.
Last reported payment date: 2024-10-01 • Largest payer in this snapshot: Glaukos Corporation ($144).
Total Amount
$441
General + Research + Ownership
Payments
9
Total payment records
General Amount
$441
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-01
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2013-06-10
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 |
|---|---|---|---|---|
| I20130610000740 | I | Optometry | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 393 | 392 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 88 | $0 |
| 92134 | Imaging of retina | 96 | 95 | $0 |
| 92004 | New patient complete exam of visual system | 59 | 59 | $0 |
| 92133 | Imaging of optic nerve | 40 | 38 | $0 |
Insurance plans in this area (ZIP 49418)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R 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 | KY | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI | |
| O P H T H A L M O L O G Y | MI | |
| O P T O M E T R Y | MI |
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