JENNIFER L. VANDERBECK (MD) – Orthopaedic Surgery Physician, NPI 1679781769
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
844 ORTHOPEDIC SURGERY in VA
Provider Addresses for JENNIFER L. VANDERBECK (MD)
1300 W Broad St Ste 113
Richmond, VA 232849089
Phone: (804) 828-7069
Fax: (804) 828-0354
Type: Location
Richmond Drive, Middletown, New Castle County, Delaware, United States
RICHMOND, VA 232911734
Phone: (804) 358-6100
Fax: (804) 342-7619
Type: Mailing
417, North 11th Street, Shockoe Slip, Richmond, Richmond City, Virginia, 23219, United States
RICHMOND, VA 232985002
Phone: (804) 828-7069
Fax: (804) 828-4762
Type: Location
1250 E Marshall St
Richmond, VA 232985051
Phone: (804) 828-7069
Fax: (804) 828-4762
Type: Location
9000 Stony Point Pkwy
Richmond, VA 232351900
Phone: (804) 560-8945
Fax: (804) 560-7199
Type: Location
11958 W Broad St
Henrico, VA 232331007
Phone: (804) 360-4669
Fax: (804) 364-6557
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 53 Open Payments records for all available years, with a total value of $7,990.
Total Amount is formed as General ($7,990) + Research ($0) + Ownership ($0) = $7,990.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($3,773).
Total Amount
$7,990
General + Research + Ownership
Payments
53
Total payment records
General Amount
$7,990
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medical Device Business Services, Inc. | $3,773 |
| Fortis Surgical, LLC | $2,167 |
| Arthrex, Inc. | $1,000 |
| DePuy Synthes Sales Inc. | $405 |
| Smith+Nephew, Inc. | $307 |
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: 2018-12-20
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 |
|---|---|---|---|---|
| I20181220003396 | I | Orthopedic Surgery | VA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 101 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 118 | 107 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 70 | 70 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 56 | 51 | $0 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 20 | 20 | $0 |
Insurance plans in this area (ZIP 23284)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | NJ | 20610 | Aspiration and/or injection of large joint or joint capsule | 123 | 109 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | VA | |
| - | VA | |
| Nurse Practitioner | VA | |
| Orthopedic Surgery | VA | |
| O T O L A R Y N G O L O G Y | VA | |
| Diagnostic Radiology | VA | |
| Nurse Practitioner | VA | |
| Qualified Audiologist | VA | |
| Radiation Oncology | VA | |
| O T O L A R Y N G O L O G Y | VA |
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