DR. BRENT VAN TIL (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1225285992

DR. BRENT VAN TIL (DPM) is a healthcare provider. based in Holland, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 5901002387 (MI). The NPI Number for DR. BRENT VAN TIL (DPM) is 1225285992

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRENT VAN TIL (DPM)
NPI
1225285992
Phone
(616) 392-7472
Address
904 WASHINGTON AVE STE 130
Enumeration Date
25 August 2008
Last Update Date
16 December 2013

Doctor Profile

Medical School Name
COLLEGE OF PODIATRIC MED AND SURGERY, DES MOINES UNIVERSITY
Secondary Phone
6163927472
Graduation Year
2008 (18 years ago)
PAC ID
6709064983
Group Practice PAC ID
1658265202
Professional Enrollment ID
I20110617000587
Address ID
MI494237724HO904XXAVEX436
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

753 PODIATRY in MI

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Provider Addresses for DR. BRENT VAN TIL (DPM)

  • 130, Washington Avenue, Holland, Pipestone County, Minnesota, 56139, United States

    HOLLAND, MI 494237724

    Phone: (616) 392-7472

    Fax: (616) 392-3327

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $182.

Total Amount is formed as General ($182) + Research ($0) + Ownership ($0) = $182.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Paragon 28, Inc. ($182).

Total Amount

$182

General + Research + Ownership

Payments

3

Total payment records

General Amount

$182

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Paragon 28, Inc.$182
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: 2011-06-17

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
I20110617000587IPodiatryMITBD

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
11721Removal of fingernails or toenails, 6 or more nails292112$0
99213Established patient office or other outpatient visit, 20-29 minutes11574$0
11720Removal of fingernails or toenails, 1-5 nails10541$0
11719Trimming of fingernails or toenails6222$0
11055Removal of noncancer thickened skin growth, 1 growth5933$0
View full utilization report →

Insurance plans in this area (ZIP 49423)

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Provider's Procedures

DR. BRENT VAN TIL (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMI11042Removal of skin and tissue first 20 sq cm or less8228
PODIATRYMI11056Removal of 2 to 4 thickened skin growths4322
PODIATRYMI11720Removal of tissue from 1 to 5 finger or toe nails9856

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: 1658265202View full group profile
NameSpecialtyState
P O D I A T R YOH
P O D I A T R YMI
P O D I A T R YMI
P O D I A T R YMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BRENT VAN TIL (DPM)?
NPI 1225285992 is assigned to DR. BRENT VAN TIL (DPM) under the national enumeration system.
Does this profile mean DR. BRENT VAN TIL (DPM) is currently active?
Yes — DR. BRENT VAN TIL (DPM) appears active in the national provider directory.
Can you summarize DR. BRENT VAN TIL (DPM)'s specialty in plain language?
Clinically, the directory lists DR. BRENT VAN TIL (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRENT VAN TIL (DPM)?
The page summarizes Holland, Michigan for DR. BRENT VAN TIL (DPM); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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