MR. DOUGLAS LEE VANDER WOUDE MD
NPI 1235133653
Plastic Surgery in Grand Rapids, MI
About Mr. Douglas Lee Vander Woude Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DOUGLAS LEE VANDER WOUDE MD (NPI 1235133653) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301407024) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1986).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Douglas Lee Vander Woude Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Douglas Vander Woude reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
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 Douglas Vander Woude's NPI number?
The NPI number for Douglas Vander Woude is 1235133653. It was assigned to this individual provider in the NPPES registry on June 13, 2005.
Where is Douglas Vander Woude located?
Douglas Vander Woude practices at 220 Lyon St NW Ste 700, Grand Rapids, MI 49503. The listed phone number is (616) 451-4500.
What is Douglas Vander Woude's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Douglas Vander Woude enrolled in Medicare?
Yes. Douglas Vander Woude 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.
Which organization bills Medicare for Douglas Vander Woude's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Vander Woude reassigns Medicare benefits to Plastic Surgery Associates PC (Grand Rapids, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Vander Woude's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Douglas Vander Woude accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Douglas Vander Woude 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 Douglas Vander Woude was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Mr. Douglas Lee Vander Woude, MD · NPI 1235133653
Plastic Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2005.
## Identity
- **NPI:** 1235133653 (Entity type: Individual)
- **Enumerated:** June 13, 2005
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 4301407024 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 LYON ST NW, STE 700, Grand Rapids, MI 49503-2210
- **Phone:** (616) 451-4500 · **Fax:** (616) 451-9077
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Plastic Surgery Associates PC (NPI 1093899767, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 1986
## Record status
- **NPPES last updated:** May 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1235133653) · Data from the CMS NPPES public registry.