MR. EVAN REID VANDENBOSCH (PA-C) – Physician Assistant, NPI 1710342134
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for MR. EVAN REID VANDENBOSCH (PA-C)
35735 Mound Rd Ste 100
Sterling Heights, MI 483104728
Phone: (586) 261-1960
Type: Location
36622 5 MILE RD
SUITE 101
LIVONIA, MI 481541900
Phone: (734) 542-0200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $92.
Total Amount is formed as General ($92) + Research ($0) + Ownership ($0) = $92.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Stryker Corporation ($23).
Total Amount
$92
General + Research + Ownership
Payments
5
Total payment records
General Amount
$92
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $23 |
| Boston Scientific Corporation | $23 |
| Janssen Biotech, Inc. | $19 |
| ABBVIE INC. | $14 |
| DePuy Synthes Sales Inc. | $14 |
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: 2016-01-19
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 |
|---|---|---|---|---|
| I20160119001357 | I | Physician Assistant | 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 | 39 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 26 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 20 | 20 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 17 | 17 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 16 | 16 | $0 |
Insurance plans in this area (ZIP 48310)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI | |
| - | MI | |
| - | MI | |
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI | |
| Family Practice, Geriatric Medicine | MI | |
| C H I R O P R A C T I C | MI |
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