DR. ANDREW JOHN VANBRUGGEN (DO) – Otolaryngology Physician, NPI 1003337809
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
320 OTOLARYNGOLOGY in MO
Provider Addresses for DR. ANDREW JOHN VANBRUGGEN (DO)
1031 McIntosh Cir
Joplin, MO 648043643
Phone: (417) 347-5665
Type: Location
247 S Nicolet Rd
Appleton, WI 549143938
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
4365 Pheasant Ridge Dr NE Ste 106
Blaine, MN 554494544
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
McIntosh Circle, Joplin, Newton County, Missouri, 64804, United States
JOPLIN, MO 648043643
Phone: (417) 357-5665
Type: Mailing
4365 PHEASANT RIDGE DR NE STE 106
BLAINE, MN 554494544
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
10001 W INNOVATION DR STE 200
MILWAUKEE, WI 532264851
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Mailing
2654 S ONEIDA ST STOP 102
GREEN BAY, WI 543045337
Phone: (888) 938-3838
Fax: (888) 919-1083
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-05-30 • Largest payer in this snapshot: GENZYME CORPORATION ($30).
Total Amount
$30
General + Research + Ownership
Payments
1
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $30 |
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: 2022-10-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220919003014 | I | Otolaryngology | MN | TBD |
| I20221006002427 | I | Otolaryngology | WI | 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 |
|---|---|---|---|---|
| 31237 | Biopsy or removal of nasal polyp or tissue using an endoscope | 73 | 30 | $0 |
| 30117 | Removal or destruction of growth of nose through nose | 50 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 49 | $0 |
| 70486 | Ct scan of face without contrast | 46 | 46 | $0 |
| 30140 | Removal of nasal air passage under lining tissue | 28 | 28 | $0 |
Insurance plans in this area (ZIP 64804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| O T O L A R Y N G O L O G Y | OH | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| O T O L A R Y N G O L O G Y | WI | |
| O T O L A R Y N G O L O G Y | OH | |
| Physician Assistant | WI |
Reviews
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