DR. JERALD O VANBECK – Anesthesiology Physician, NPI 1861504177

DR. JERALD O VANBECK is a healthcare provider. based in Minneapolis, Minnesota. specializing in ANESTHESIOLOGY. They hold a License No. 32250 (MN). The NPI Number for DR. JERALD O VANBECK is 1861504177

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. JERALD O VANBECK
NPI
1861504177
Phone
(612) 672-7422
Address
909 FULTON ST SE
Enumeration Date
31 August 2006
Last Update Date
13 March 2019

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6128104738
Graduation Year
1986 (40 years ago)
PAC ID
3870536279
Group Practice PAC ID
0648250548
Professional Enrollment ID
I20050607000509
Address ID
MN55305XXXXMIXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

969 ANESTHESIOLOGY in MN

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Provider Addresses for DR. JERALD O VANBECK

  • University of Minnesota Health Clinics and Surgery Center, 909, Fulton Street Southeast, Prospect Park - East River Road, Minneapolis, Hennepin County, Minnesota, 55455, United States

    MINNEAPOLIS, MN 554554800

    Phone: (612) 672-7422

    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)

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: 2005-06-07

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
I20050607000509IAnesthesiologyMNTBD

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
00812Anesthesia for exam of colon using an endoscope143143$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3939$0
00813Anesthesia for procedure on small and large bowel using an endoscope2525$0
00811Anesthesia for other procedure on large bowel using an endoscope2323$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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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: 0648250548View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
A N E S T H E S I O L O G YMN
A N E S T H E S I O L O G YMN
-MN
-MN
Certified Registered Nurse Anesthetist (Crna)MN
-MN
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

What federal number belongs to DR. JERALD O VANBECK?
The federal identifier for DR. JERALD O VANBECK is NPI 1861504177.
Does this profile mean DR. JERALD O VANBECK is currently active?
Yes — DR. JERALD O VANBECK appears active in the national provider directory.
Does DR. JERALD O VANBECK list a primary specialty?
If you are matching referrals, note Anesthesiology Physician for DR. JERALD O VANBECK. Clinical services aligned with this taxonomy classification.
Does DR. JERALD O VANBECK practice in Minnesota?
You will see Minneapolis, Minnesota on file for DR. JERALD O VANBECK alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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