DR. MARY E VAJGRT (M.D.) – Family Medicine Physician, NPI 1396713509
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
244 SPORTS MEDICINE in MI
Provider Addresses for DR. MARY E VAJGRT (M.D.)
7901 Angling Rd
Portage, MI 490240714
Phone: (269) 324-8600
Type: Location
7901, Angling Road, Portage, Kalamazoo County, Michigan, 49024, United States
PORTAGE, MI 490240714
Phone: (269) 324-8600
Type: Mailing
6210, West Main Street, Oshtemo Township, Kalamazoo County, Michigan, 49009, United States
KALAMAZOO, MI 49009
Phone: (269) 286-7030
Fax: (269) 286-7031
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 61 Open Payments records for all available years, with a total value of $1,522.
Total Amount is formed as General ($1,522) + Research ($0) + Ownership ($0) = $1,522.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($265).
Total Amount
$1,522
General + Research + Ownership
Payments
61
Total payment records
General Amount
$1,522
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $265 |
| PFIZER INC. | $160 |
| Abbott Laboratories | $154 |
| AstraZeneca Pharmaceuticals LP | $131 |
| ABBVIE INC. | $76 |
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: 2005-08-24
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 |
|---|---|---|---|---|
| I20050824000543 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 93 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 50 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 49024)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Sports Medicine | MI | |
| Sports Medicine, Family Practice | MI | |
| Physician Assistant | MI | |
| Physician Assistant | IL | |
| Nurse Practitioner | MI | |
| N E U R O S U R G E R Y | IL | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Physician Assistant | MI |
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