DR. MARY E VAJGRT (M.D.) – Family Medicine Physician, NPI 1396713509

DR. MARY E VAJGRT (M.D.) is a healthcare provider. based in Portage, Michigan. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301084432 (MI). The NPI Number for DR. MARY E VAJGRT (M.D.) is 1396713509

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY E VAJGRT (M.D.)
NPI
1396713509
Phone
(269) 324-8600
Address
7901 Angling Rd
Enumeration Date
14 March 2006
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
INDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
5193756658
Group Practice PAC ID
0941513303
Professional Enrollment ID
I20050824000543
Address ID
MI495463808GR5060XSEXX401
Telehealth
Yes

Contacts

Secure Messaging
direct@direct.bronsonhg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050824000543ISports MedicineMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14493$0
99213Established patient office or other outpatient visit, 20-29 minutes5550$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
99204New patient office or other outpatient visit, 45-59 minutes1919$0
99215Established patient office or other outpatient visit, 40-54 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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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: 0941513303View full group profile
NameSpecialtyState
Physician AssistantMI
Sports MedicineMI
Sports Medicine, Family PracticeMI
Physician AssistantMI
Physician AssistantIL
Nurse PractitionerMI
N E U R O S U R G E R YIL
Physician AssistantMI
Internal MedicineMI
Physician AssistantMI

Reviews

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Frequently asked questions

What number should I use to identify DR. MARY E VAJGRT (M.D.) for billing?
Administrative and clinical systems typically use NPI 1396713509 for DR. MARY E VAJGRT (M.D.).
Should I treat DR. MARY E VAJGRT (M.D.) as an active provider?
Patients and plans typically see DR. MARY E VAJGRT (M.D.) as active in the national extract.
What does the directory say DR. MARY E VAJGRT (M.D.) does?
Insurance directories may phrase it differently, but here DR. MARY E VAJGRT (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MARY E VAJGRT (M.D.)?
The directory associates DR. MARY E VAJGRT (M.D.) with Portage, Michigan. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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