DR. MICHAEL D COLBURN – Vascular Surgery Physician, NPI 1760486260

DR. MICHAEL D COLBURN is a healthcare provider. based in Traverse city, Michigan. specializing in Vascular Surgery Physician. They hold a License No. 4301079215 (MI). The NPI Number for DR. MICHAEL D COLBURN is 1760486260

Main info

Male
Sole Proprietor
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL D COLBURN
NPI
1760486260
Phone
(231) 935-0390
Address
3930 CEDAR RUN RD
Enumeration Date
13 June 2005
Last Update Date
18 March 2021

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2319350390
Graduation Year
1987 (39 years ago)
PAC ID
2668458068
Group Practice PAC ID
2163505090
Professional Enrollment ID
I20040626000148

Contacts

Secure Messaging
michael.colburn@vconm.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. MICHAEL D COLBURN

  • Cedar Run Road, Cedar Run, Long Lake Township, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496849687

    Phone: (231) 935-0390

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $591.

Total Amount is formed as General ($591) + Research ($0) + Ownership ($0) = $591.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($386).

Total Amount

$591

General + Research + Ownership

Payments

15

Total payment records

General Amount

$591

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2004-06-26

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
I20040626000148IVascular SurgeryMITBD

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
99212Established patient office or other outpatient visit, 10-19 minutes8880$0
93880Ultrasound of both sides of head and neck blood flow5251$0
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts3131$0
93923Complete ultrasound study of arm and leg arteries3129$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 49684)

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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: 2163505090View full group profile
NameSpecialtyState
Vascular SurgeryOH
Peripheral Vascular Disease, General Surgery, Thoracic Surgery, Vascular SurgerySC
Vascular SurgeryMI

Reviews

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Frequently asked questions

How is DR. MICHAEL D COLBURN identified in CMS data?
CMS-hosted NPPES data lists DR. MICHAEL D COLBURN with NPI 1760486260.
Does the file indicate DR. MICHAEL D COLBURN is practicing under active NPI?
Directory data currently reports DR. MICHAEL D COLBURN as active.
What taxonomy line describes DR. MICHAEL D COLBURN?
For research purposes, treat DR. MICHAEL D COLBURN as Vascular Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MICHAEL D COLBURN?
DR. MICHAEL D COLBURN's geographic hint is Traverse City, Michigan in our summary view.
Why does DR. MICHAEL D COLBURN have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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