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SUSAN J VANDELLEN D.O.
NPI 1598767394
Internal Medicine - Rheumatology in Port Huron, MI

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
83.35/100
CMS Quality Rating
940 RIVER CENTRE DR, PORT HURON, MI 48060(810) 985-4900(810) 985-3634 Get Directions Write a Review

NPPES record last updated: December 4, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan J Vandellen D.o. NPPES

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

SUSAN J VANDELLEN D.O. (NPI 1598767394) is an individual rheumatology provider in Port Huron, Michigan, licensed in Michigan (5101009277) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1985).

NPPES Registry Identity

NPI1598767394
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameSUSAN J VANDELLENCredential: D.O.
Location Address940 RIVER CENTRE DRPort Huron, MI 48060-4463
Mailing Address940 River Centre DrPort Huron, MI 48060-4463 · (810) 985-4900 · Fax (810) 985-3634
Phone(810) 985-4900
Fax(810) 985-3634
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1985
Enumeration DateAugust 11, 2005
Last NPPES UpdateDecember 4, 2009
✔ NPI 1598767394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MI · 5101009277
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
940 RIVER CENTRE DR, Port Huron, MI 48060
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF38705MI
Medicaid4610438MI
Medicare ID-Type Unspecified0G46008009MI · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Susan J Vandellen D.o. 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 ID9537148267
PECOS Enrollment IDI20040716000341
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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services48 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services29 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48060 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

83.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.06
Promoting Interoperability100
Improvement Activities40
Cost60.61

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%482 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
31%495 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
32%713 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%3,014 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
82%518 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
51%1,166 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%1,166 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
33%1,166 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%1,166 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

ORTHOPEDIC ASSOCIATES OF PORT HURON PC
Durable Medical Equipment & Medical Supplies
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ASHLEY LAUREN WILSON PA-C
Physician Assistant
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
MRS. LAURA ANN KINSLEY PT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ORTHOPEDIC ASSOCIATES OF PORT HURON, PC
Radiology (Diagnostic Radiology)
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
MRS. KRISTA MARQUARDT MPT, CHT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-7412
DONALD D ERNST D.O.
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ORTHOPEDIC ASSOCIATES OF PORT HURON PC
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
KYROLLOS BOULES PT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900

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 Susan Vandellen's NPI number?

The NPI number for Susan Vandellen is 1598767394. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Susan Vandellen located?

Susan Vandellen practices at 940 River Centre Dr, Port Huron, MI 48060. The listed phone number is (810) 985-4900.

What is Susan Vandellen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Susan Vandellen enrolled in Medicare?

Yes. Susan Vandellen 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 Susan Vandellen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Susan Vandellen 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.

Is Susan Vandellen affiliated with any hospitals?

According to CMS data, Susan Vandellen is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Ascension St John Hospital and Mclaren Port Huron.

When was this NPI record last updated?

The NPPES record for Susan Vandellen was last updated on December 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.