DR. JESSE WILLIAM VREDENBURGH (D.O.) – Family Medicine Physician, NPI 1174673685
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. JESSE WILLIAM VREDENBURGH (D.O.)
745, Kings Point Harbor, Corpus Christi, Nueces County, Texas, 78402, United States
CORPUS CHRISTI, TX 784021713
Phone: (361) 563-4325
Fax: (361) 880-4096
Type: Mailing
125, Interstate Highway 5, Roseburg, Douglas County, Oregon, 97471, United States
SPRING, TX 773864084
Phone: (832) 688-6111
Fax: (832) 365-6132
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: 2011-05-11
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 |
|---|---|---|---|---|
| I20110511000446 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| Q9965 | Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml | 3,000 | 44 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 2,800 | 26 | $0 |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 1,950 | 60 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 72 | 68 | $0 |
| 77002 | Fluoroscopic guidance for needle placement | 72 | 68 | $0 |
Insurance plans in this area (ZIP 78402)
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