IVAN NOFFSKER (MD) – Vascular Surgery Physician, NPI 1265927438
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
242 VASCULAR SURGERY in MI
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Provider Addresses for IVAN NOFFSKER (MD)
402, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
GRAND RAPIDS, MI 495032538
Phone:
Type: Mailing
701 E BLUFF ST APT 4115
FORT WORTH, TX 761022363
Phone: (682) 583-5900
Type: Mailing
800 8TH AVE STE 306
FORT WORTH, TX 761042602
Phone: (682) 224-3748
Fax: (682) 841-0039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $6,318.
Total Amount is formed as General ($6,318) + Research ($0) + Ownership ($0) = $6,318.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Penumbra, Inc. ($1,804).
Total Amount
$6,318
General + Research + Ownership
Payments
78
Total payment records
General Amount
$6,318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $1,804 |
| W. L. Gore & Associates, Inc. | $849 |
| Silk Road Medical, Inc. | $811 |
| Bolton Medical Inc | $477 |
| Endologix LLC | $364 |
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: 2024-03-25
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 |
|---|---|---|---|---|
| I20240325002294 | I | Vascular Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | UT | |
| Colorectal Surgery (Proctology), General Surgery | TX | |
| General Surgery | TX | |
| General Surgery | TX | |
| General Practice, General Surgery | TX | |
| Physician Assistant | WV | |
| General Surgery | TX | |
| General Surgery, Vascular Surgery | HI | |
| Nurse Practitioner | TX | |
| General Surgery | TX |
Reviews
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