LYLE J VANDERSCHAAF MD
NPI 1063497386
General Practice in Marquette, MI

Active since December 09, 2005PECOS Enrolled
420 W MAGNETIC ST, SUITE ER, MARQUETTE, MI 49855(888) 674-0854(906) 225-3370 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lyle J Vanderschaaf Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYLE J VANDERSCHAAF MD (NPI 1063497386) is an individual general practice provider in Marquette, Michigan, licensed in Michigan (4301070441) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063497386
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameLYLE J VANDERSCHAAFCredential: MD
Location Address420 W MAGNETIC ST, SUITE ERMarquette, MI 49855-2711
Mailing Address4602 DeptCarol Stream, IL 60122-0021 · (906) 225-4821 · Fax (906) 225-4537
Fax(906) 225-3370
Sole ProprietorNo
Enumeration DateDecember 9, 2005
Last NPPES UpdateJuly 10, 2013
NPI 1063497386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · 4301070441
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4301070441 (MI)
420 W MAGNETIC ST, Marquette, MI 49855

Other Identifiers 3

Other4301070441MI · Michigan License #
Medicare UPINH35992MI
Medicare PIN0M36120016MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lyle J Vanderschaaf Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
27 services27 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
420 W MAGNETIC ST
MARQUETTE, MI 49855
Emergency Medicine
420 W MAGNETIC ST, SUITE ER
MARQUETTE, MI 49855
Physician Assistant
420 W MAGNETIC ST, SUITE ER
MARQUETTE, MI 49855
Pathology (Anatomic Pathology & Clinical Pathology)
420 W MAGNETIC ST
MARQUETTE, MI 49855
General Practice
420 W MAGNETIC ST
MARQUETTE, MI 49855
Pharmacy (Clinic Pharmacy)
420 W MAGNETIC ST
MARQUETTE, MI 49855
Psychiatric Unit
420 W MAGNETIC ST
MARQUETTE, MI 49855
Nurse Anesthetist, Certified Registered
420 W MAGNETIC ST, ANESTHESIA DEPT.
MARQUETTE, MI 49855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyle Vanderschaaf's NPI number?

The NPI number for Lyle Vanderschaaf is 1063497386. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Lyle Vanderschaaf located?

Lyle Vanderschaaf practices at 420 W Magnetic St Suite ER, Marquette, MI 49855. The listed phone number is (888) 674-0854.

What is Lyle Vanderschaaf's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lyle Vanderschaaf enrolled in Medicare?

Yes. Lyle Vanderschaaf is registered in the Medicare PECOS enrollment system.

What insurance does Lyle Vanderschaaf accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lyle Vanderschaaf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lyle Vanderschaaf was last updated on July 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.