DR. JASON VANDERPLOEG OD
NPI 1558404152
Optometrist in Kentwood, MI
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
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jason Vanderploeg reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Richard H Benninger Mdpc
- 6 clinicians in this Medicare group
Hastings, MI 49058
- Reassigned Medicare billing, Michigan enrollment
- 3 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 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.
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.
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.
GRAND RAPIDS, MI 49512
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.
Which organizations bill Medicare for Jason Vanderploeg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jason Vanderploeg reassigns Medicare benefits to 3 organizations: Cascade Ophthalmology PC (Grand Rapids, MI), Richard H Benninger MD PC (Grand Rapids, MI) and Creekside Vision & Hearing, Plc (Hastings, MI). Each 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 Jason Vanderploeg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jason Vanderploeg accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 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 19 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.
# Dr. Jason Vanderploeg, OD · NPI 1558404152
Optometrist provider in Kentwood, Michigan. Individual provider, active in the CMS NPPES registry since February 14, 2007.
## Identity
- **NPI:** 1558404152 (Entity type: Individual)
- **Enumerated:** February 14, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901004392 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3205 28TH ST SE, STE 1, Kentwood, MI 49512-1695
- **Phone:** (616) 957-1600 · **Fax:** (616) 957-3925
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Cascade Ophthalmology PC (NPI 1013979756, Grand Rapids, MI); Richard H Benninger MD PC (NPI 1275618068, Grand Rapids, MI); Creekside Vision & Hearing, Plc (NPI 1508829573, Hastings, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Ferris State College - College Of Optometry, class of 2006
## Record status
- **NPPES last updated:** October 1, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1558404152) · Data from the CMS NPPES public registry.