DWAYNE P VANDERBERG M.D.
NPI 1225012008
Internal Medicine in Olivehurst, CA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
4941 OLIVEHURST AVE, OLIVEHURST, CA 95961(530) 743-4611(530) 743-5770 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dwayne P Vanderberg M.d. NPPES

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

DWAYNE P VANDERBERG M.D. (NPI 1225012008) is an individual internal medicine provider in Olivehurst, California, licensed in California (G73626) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1988).

NPPES Registry Identity

NPI1225012008
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDWAYNE P VANDERBERGCredential: M.D.
Location Address4941 OLIVEHURST AVEOlivehurst, CA 95961-4225
Mailing AddressPo Box AdYuba City, CA 95992-1396 · (800) 313-0111 · Fax (530) 751-1237
Fax(530) 743-5770
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1988
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
NPI 1225012008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · G73626
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4941 OLIVEHURST AVE, Olivehurst, CA 95961

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dwayne P Vanderberg M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193789139
PECOS Enrollment IDI20041118000564
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.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
222 services75 patients
Hemoglobin a1c level, by device for home use 83037
A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.
122 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95961 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 20

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers110 claims204 services$4.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers49 claims49 services$0.62 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers11 claims66 services$14.22 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$53.57 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims84 services$2.43 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers40 claims40 services$13.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Physician Assistant (Medical)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Dentist (General Practice)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Dentist
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Nurse Practitioner
4941 OLIVEHURST AVE, AMPLA HEALTH LINDHURST MEDICAL & DENTAL
OLIVEHURST, CA 95961
Physician Assistant
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961
Nurse Practitioner
4941 OLIVEHURST AVE, STE 600
OLIVEHURST, CA 95961
Dentist (General Practice)
4941 OLIVEHURST AVE
OLIVEHURST, CA 95961

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 Dwayne Vanderberg's NPI number?

The NPI number for Dwayne Vanderberg is 1225012008. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Dwayne Vanderberg located?

Dwayne Vanderberg practices at 4941 Olivehurst Ave, Olivehurst, CA 95961. The listed phone number is (530) 743-4611.

What is Dwayne Vanderberg's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dwayne Vanderberg enrolled in Medicare?

Yes. Dwayne Vanderberg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dwayne Vanderberg was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.