DR. SCOTT LESLIE VANDEVORDE (DPM) – Podiatrist, NPI 1992794200
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
753 PODIATRY in MI
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Provider Addresses for DR. SCOTT LESLIE VANDEVORDE (DPM)
430, East 8th Street, Holland Charter Township, Ottawa County, Michigan, 49423, United States
PMB 182
HOLLAND, MI 494233751
Phone: (616) 748-9025
Fax: (616) 748-9124
Type: Mailing
East 32nd Street, Holland, Ottawa County, Michigan, 49423, United States
HOLLAND, MI 494239044
Phone: (616) 748-9025
Fax: (616) 748-9124
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: 2004-08-17
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 |
|---|---|---|---|---|
| I20040817000036 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11720 | Removal of fingernails or toenails, 1-5 nails | 1,569 | 615 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 575 | 224 | $0 |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 123 | 59 | $0 |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 96 | 96 | $0 |
| G0127 | Trimming of dystrophic nails, any number | 94 | 45 | $0 |
Insurance plans in this area (ZIP 49423)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PODIATRY | MI | 11720 | Removal of tissue from 1 to 5 finger or toe nails | 394 | 184 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MI | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| P O D I A T R Y | MI | |
| Qualified Audiologist | MI | |
| - | IN | |
| P O D I A T R Y | MI |
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