THEODORE J. VANDERKOOI M.D.
NPI 1801849120
Surgery in Fremont, MI

Q: What is Theodore Vanderkooi's NPI number?

The NPI number for Theodore Vanderkooi is 1801849120. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Theodore Vanderkooi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment

230 W OAK ST, SUITE 201, FREMONT, MI 49412(231) 924-4200(616) 267-9046 Get Directions Write a Review

NPPES record last updated: July 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theodore J. Vanderkooi M.d. NPPES

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

THEODORE J. VANDERKOOI M.D. (NPI 1801849120) is an individual surgery provider in Fremont, Michigan, licensed in Michigan (065627) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of University Of Michigan Medical School (1995).

NPPES Registry Identity

NPI1801849120

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameTHEODORE J. VANDERKOOICredential: M.D.

Location Address230 W OAK ST, SUITE 201Fremont, MI 49412-1575

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(231) 924-4200

Fax(616) 267-9046

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995

Enumeration DateMay 18, 2006

Last NPPES UpdateJuly 11, 2014

✔ NPI 1801849120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 065627

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

230 W OAK ST, Fremont, MI 49412

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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

Theodore J. Vanderkooi M.d. 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 ID2365431038

PECOS Enrollment IDI20101011000648

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 4

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

34 services23 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.

23 services17 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

22 services22 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49412 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

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.

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.

MRS. AUTUMN ELIZABETH DITTENBER PA-C

Physician Assistant

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

BRIAN S HOOD D.O.

Orthopaedic Surgery

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

ERIC R WEAVER MD

Family Medicine

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

DOUGLAS A. JOHNSON M.D.

Surgery

230 W OAK ST, SUITE 201
FREMONT, MI 49412

Newaygo County (231) 924-4200

JONI LYNN ERLEWEIN NP

Nurse Practitioner (Acute Care)

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-1305

DONALD B. REINDERS M.D.

Family Medicine

230 W OAK ST, SUITE 201
FREMONT, MI 49412

Newaygo County (231) 924-4200

PINE MEDICAL GROUP PC

Family Medicine

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

JESSICA MCWATTERS PAC

Physician Assistant

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

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 Theodore Vanderkooi's NPI number?

The NPI number for Theodore Vanderkooi is 1801849120. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Theodore Vanderkooi located?

Theodore Vanderkooi practices at 230 W Oak St Suite 201, Fremont, MI 49412. The listed phone number is (231) 924-4200.

What is Theodore Vanderkooi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Theodore Vanderkooi enrolled in Medicare?

Yes. Theodore Vanderkooi 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 Theodore Vanderkooi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Theodore Vanderkooi 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 Theodore Vanderkooi affiliated with any hospitals?

According to CMS data, Theodore Vanderkooi is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Vanderkooi was last updated on July 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.