JONATHAN VANWICKLE (MD) – Radiation Oncology Physician, NPI 1811493737
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 RADIATION ONCOLOGY in MI
Provider Addresses for JONATHAN VANWICKLE (MD)
2799 W Grand Blvd
Detroit, MI 482022608
Phone: (313) 916-2889
Type: Location
1325 E CHURCH ST STE 101
SANTA MARIA, CA 934545915
Phone: (805) 925-2529
Fax: (805) 928-4478
Type: Location
Henry Ford Hospital, 2799, West Grand Boulevard, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482022608
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($218).
Total Amount
$218
General + Research + Ownership
Payments
3
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $218 |
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: 2023-07-03
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 |
|---|---|---|---|---|
| I20230703000708 | I | Radiation Oncology | CA | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 540 | 77 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 160 | 56 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 134 | 47 | $0 |
| 77300 | Calculation of radiation therapy dose | 90 | 28 | $0 |
| 77336 | Continuing radiation therapy consultation per week | 49 | 16 | $0 |
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| Radiation Oncology | CA | |
| - | CA | |
| Radiation Oncology | TN | |
| Radiation Oncology | CA | |
| Radiation Oncology | DC | |
| Radiation Oncology | CA | |
| Radiation Oncology | CA |
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