GLENN VANOTTEREN (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1700826880

GLENN VANOTTEREN (MD) is a healthcare provider. based in Grand rapids, Michigan. specializing in PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301058500 (MI). The NPI Number for GLENN VANOTTEREN (MD) is 1700826880

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
GLENN VANOTTEREN (MD)
NPI
1700826880
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
7 June 2006
Last Update Date
20 May 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163915600
Graduation Year
1988 (38 years ago)
PAC ID
0446155071
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20041229000808
Address ID
MI495084600KE4444XSEXX401
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Secure Messaging
Glenn.Vanotteren@epic00.shdirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

657 PULMONARY DISEASE in MI

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Provider Addresses for GLENN VANOTTEREN (MD)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • Lake Drive Southeast, Heritage Hill Historic District, Grand Rapids, Kent County, Michigan, 49546, United States

    S-200

    GRAND RAPIDS, MI 495468292

    Phone: (616) 949-8244

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($136).

Total Amount

$628

General + Research + Ownership

Payments

14

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

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: 2004-12-29

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
I20041229000808IPulmonary DiseaseMITBD

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
99291Critical care, first 30-74 minutes4828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2516$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2317$0
99214Established patient office or other outpatient visit, 30-39 minutes2016$0
99215Established patient office or other outpatient visit, 40-54 minutes1916$0
View full utilization report →

Insurance plans in this area (ZIP 49503)

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Provider's Procedures

GLENN VANOTTEREN (MD) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEMI94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2222

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I use this page to confirm GLENN VANOTTEREN (MD)'s NPI?
Yes. GLENN VANOTTEREN (MD) is listed with NPI 1700826880 in the public NPI dataset.
Can I rely on GLENN VANOTTEREN (MD) being an active provider?
As of the registry snapshot, GLENN VANOTTEREN (MD) is marked active.
What is GLENN VANOTTEREN (MD)'s primary classification?
Critical Care Medicine (Internal Medicine) Physician is the headline specialty for GLENN VANOTTEREN (MD) here. Clinical services aligned with this taxonomy classification.
Where should I expect GLENN VANOTTEREN (MD) on a map?
Expect Grand Rapids, Michigan as a primary anchor for GLENN VANOTTEREN (MD) unless the record lists multiple sites.
Is the information about GLENN VANOTTEREN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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