DR. DAVID GORDON VANOTTEREN (O.D.) – Optometrist, NPI 1477649499
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,204 OPTOMETRY in MI
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Provider Addresses for DR. DAVID GORDON VANOTTEREN (O.D.)
8850, Saline Milan Road, Saline, Washtenaw County, Michigan, 48176, United States
SALINE, MI 481768826
Phone: (734) 944-4404
Fax: (734) 944-3937
Type: Mailing
US Highway 223, Madison Township, Lenawee County, Michigan, 49221, United States
ADRIAN, MI 492214454
Phone: (517) 265-9883
Fax: (517) 265-9796
Type: Location
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: 2009-10-27
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 |
|---|---|---|---|---|
| I20091027000265 | I | Optometry | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 194 | 194 | $0 |
| 92134 | Imaging of retina | 117 | 109 | $0 |
| 92004 | New patient complete exam of visual system | 48 | 48 | $0 |
| 92250 | Photography of the retina | 42 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 48176)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | MI | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 65 | 62 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| O P T O M E T R Y | MI |
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