DR. STEPHEN P VANDER ROEST (M.D.) – Emergency Medicine Physician, NPI 1386627917

DR. STEPHEN P VANDER ROEST (M.D.) is a healthcare provider. based in Traverse city, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301068550 (MI). The NPI Number for DR. STEPHEN P VANDER ROEST (M.D.) is 1386627917

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN P VANDER ROEST (M.D.)
NPI
1386627917
Phone
(231) 947-0673
Address
1105 6TH ST
Enumeration Date
29 November 2005
Last Update Date
26 July 2024

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7016622131
Graduation Year
1996 (30 years ago)
PAC ID
9638122187
Group Practice PAC ID
9537128681
Professional Enrollment ID
I20240613004501
Address ID
ND583012719DE1031XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,157 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. STEPHEN P VANDER ROEST (M.D.)

  • 6th Street, Fife Lake, Fife Lake Township, Grand Traverse County, Michigan, United States

    TRAVERSE CITY, MI 496842345

    Phone: (231) 947-0673

    Fax: (801) 840-2847

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050224000921IEmergency MedicineMITBD
I20240613004501IEmergency MedicineNDTBD
I20241023004822IEmergency MedicinePATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only300229$0
99285Emergency department visit with high level of medical decision making242234$0
99284Emergency department visit with moderate level of medical decision making123116$0
99291Critical care, first 30-74 minutes8484$0
99283Emergency department visit with low level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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Provider's Procedures

DR. STEPHEN P VANDER ROEST (M.D.) performs procedures in EMERGENCY MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEMI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report13881208

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: 9537128681View full group profile
NameSpecialtyState
Internal MedicineOH
Internal Medicine, HospitalistWV
Emergency MedicineND
Family PracticeWY
Nurse PractitionerND
Internal Medicine, HospitalistKY
-ND
-ND
Family PracticeFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. STEPHEN P VANDER ROEST (M.D.)?
DR. STEPHEN P VANDER ROEST (M.D.) — NPI 1386627917 — is the standard way to identify this listing.
Is DR. STEPHEN P VANDER ROEST (M.D.) listed as active for patients and plans?
The listing shows DR. STEPHEN P VANDER ROEST (M.D.) as active in the NPI system.
What is DR. STEPHEN P VANDER ROEST (M.D.)'s specialty?
The listing groups DR. STEPHEN P VANDER ROEST (M.D.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. STEPHEN P VANDER ROEST (M.D.) list a practice location?
Patients near Traverse City, Michigan may find DR. STEPHEN P VANDER ROEST (M.D.) in results; validate coverage separately.
Why does DR. STEPHEN P VANDER ROEST (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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