CHARLES JAY VANDENBERG IV D.O.
NPI 1750638516
Internal Medicine in Manistee, MI

Active since August 12, 2012PECOS EnrolledAccepts Medicare Assignment
1293 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1840 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Jul 13, 2023, Nov 8, 2022 and 2 more (5 updates tracked since 2017).

About Charles Jay Vandenberg Iv D.o. NPPES

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

CHARLES JAY VANDENBERG IV D.O. (NPI 1750638516) is an individual internal medicine provider in Manistee, Michigan, licensed in Michigan (5101021764) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Cadillac Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750638516
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCHARLES JAY VANDENBERG IVCredential: D.O.
Location Address1293 E PARKDALE AVEManistee, MI 49660-8904
Mailing Address1391 E Parkdale AveManistee, MI 49660-9352 · (231) 398-1760
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2012
Enumeration DateAugust 12, 2012
Last NPPES UpdateSeptember 16, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
NPI 1750638516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MI · 5101021764 Licensed in MO · 2012020880
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.
1293 E PARKDALE AVE, Manistee, MI 49660

Secondary Practice Locations 2

Location 11391 E Parkdale AveManistee, MI 49660-9352 · Phone (231) 398-1760
Location 25085 Anna Dr Ste B&cTraverse City, MI 49684-7475 · Phone (231) 935-5900

Accepted 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

Charles Jay Vandenberg Iv 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 ID6305155029
PECOS Enrollment IDI20151020003017
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 3

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.

Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
42 services41 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
42 services41 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
42 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230303
Location1465 E Parkdale AveManistee, MI 49660 · Manistee County
Emergency services

Paul Oliver Memorial Hospital

Critical Access Hospitals · Frankfort, MI
OwnershipGovernment - Local
CMS Certification Number231300
Location224 Park AvenueFrankfort, MI 49635 · Benzie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49660 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.

Referred Medical Equipment & Supplies CMS DME claims 19

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
10 suppliers42 claims160 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers19 claims37 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers17 claims17 services$35.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers13 claims13 services$95.21 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers13 claims30 services$34.26 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers14 claims14 services$21.89 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.

Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Physician Assistant (Medical)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Legal Medicine
1293 E PARKDALE AVE, SUITE 2500
MANISTEE, MI 49660
Surgery
1293 E PARKDALE AVE
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660

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 Charles Vandenberg's NPI number?

The NPI number for Charles Vandenberg is 1750638516. It was assigned to this individual provider in the NPPES registry on August 12, 2012.

Where is Charles Vandenberg located?

Charles Vandenberg practices at 1293 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 398-1840.

What is Charles Vandenberg's specialty?

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

Is Charles Vandenberg enrolled in Medicare?

Yes. Charles Vandenberg 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 Charles Vandenberg 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 Charles Vandenberg 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 Charles Vandenberg affiliated with any hospitals?

According to CMS data, Charles Vandenberg is affiliated with Munson Healthcare Cadillac Hospital, Munson Medical Center, Corewell Health Ludington Hospital, Munson Healthcare Manistee Hospital and Paul Oliver Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Charles Vandenberg was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.