MR. STEPHEN JOHN VANWYLEN (M.D.) – Surgery Physician, NPI 1437115565
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,452 GENERAL SURGERY in MI
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Provider Addresses for MR. STEPHEN JOHN VANWYLEN (M.D.)
Lakeshore Health Partners - General Surgery, 577, Michigan Avenue, Holland, Ottawa County, Michigan, 49423, United States
SUITE 202
HOLLAND, MI 494234911
Phone: (616) 394-0673
Fax: (616) 394-9825
Type: Location
709 4TH AVE NE
WATFORD CITY, ND 588547628
Phone: (701) 842-3771
Fax: (701) 842-4025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $36.
Total Amount is formed as General ($36) + Research ($0) + Ownership ($0) = $36.
Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($19).
Total Amount
$36
General + Research + Ownership
Payments
2
Total payment records
General Amount
$36
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $19 |
| Exact Sciences Corporation | $18 |
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: 2022-11-10
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20221110002174 | I | General Surgery | ND | 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 49423)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Certified Registered Nurse Anesthetist (Crna) | MT | |
| - | UT | |
| Nurse Practitioner | ND | |
| Physical Therapist In Private Practice | ND | |
| Pain Management, Interventional Pain Management | KY | |
| Nurse Practitioner | ND | |
| General Practice | ND | |
| Certified Registered Nurse Anesthetist (Crna) | ND | |
| Family Practice | KS |
Reviews
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