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DR. JASON VANDERPLOEG OD
NPI 1558404152
Optometrist in Kentwood, MI

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3205 28TH ST SE, STE 1, KENTWOOD, MI 49512(616) 957-1600(616) 957-3925 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jason Vanderploeg Od NPPES

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

DR. JASON VANDERPLOEG OD (NPI 1558404152) is an individual optometrist in Kentwood, Michigan, licensed in Michigan (4901004392) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Ferris State College - College Of Optometry (2006).

NPPES Registry Identity

NPI1558404152
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JASON VANDERPLOEGCredential: OD
Location Address3205 28TH ST SE, STE 1Kentwood, MI 49512-1695
Mailing Address4284 Plainfield Ave NeGrand Rapids, MI 49525-1612 · (616) 957-1600 · Fax (616) 957-3925
Phone(616) 957-1600
Fax(616) 957-3925
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2006
Enumeration DateFebruary 14, 2007
Last NPPES UpdateOctober 1, 2007
✔ NPI 1558404152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901004392
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3205 28TH ST SE, Kentwood, MI 49512
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Jason Vanderploeg Od 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 ID6103913801
PECOS Enrollment IDI20071026000678
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49512 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

PEARLE VISION INC
Eyewear Supplier
3205 28TH ST SE, WOODLAND MALL STE #1
KENTWOOD, MI 49512
Kent County (616) 957-1600
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
3205 28TH ST SE, WOODLAND MALL STE #I102
GRAND RAPIDS, MI 49512
Kent County (616) 464-0106

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 Jason Vanderploeg's NPI number?

The NPI number for Jason Vanderploeg is 1558404152. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jason Vanderploeg located?

Jason Vanderploeg practices at 3205 28th St SE Ste 1, Kentwood, MI 49512. The listed phone number is (616) 957-1600.

What is Jason Vanderploeg's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jason Vanderploeg enrolled in Medicare?

Yes. Jason Vanderploeg 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.

What insurance does Jason Vanderploeg accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 8 other insurers list Jason Vanderploeg 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 Jason Vanderploeg was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.