DR. DENNIS SETH VANWORMER D.O.
NPI 1336129568
Family Medicine in Caledonia, MI
NPI Status: Active since January 23, 2006
Contact Information
9090 S RODGERS CT SE STE A
CALEDONIA, MI
ZIP 49316
Phone: (616) 891-0422
- Individual
- Male
- Years of Experience 42
- Family Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
About DENNIS VANWORMER
This page provides the complete NPI Profile along with additional information for Dennis Vanwormer, a primary care provider established in Caledonia, Michigan with a medical specialization in Family Medicine and more than 42 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 1984. The healthcare provider is registered in the NPI registry with number 1336129568 assigned on January 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 5101009001 (MI). The provider is registered as an individual and his NPI record was last updated May 2025.
- NPI
- 1336129568
- Provider Name
- DR. DENNIS SETH VANWORMER D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316
- Location Phone
- (616) 891-0422
- Mailing Address
- 100 MICHIGAN ST NE # MC845 GRAND RAPIDS, MI 49503
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
- Graduation Year
- 1984
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2006
- Last Update Date
- 05-20-2025
- Code Navigator
A primary care provider (PCP) like Dennis Vanwormer sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 5101009001
- License State
- MI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
- MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
- MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Premier Silver - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network - HMO
- MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
- MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network - HMO
- MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network - HMO
- MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze - HMO
- University of Michigan Health Plan HMO Exclusive Bronze HSA - HMO
- University of Michigan Health Plan HMO Exclusive Bronze Standard - HMO
- University of Michigan Health Plan HMO Exclusive Catastrophic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Classic - HMO
- University of Michigan Health Plan HMO Exclusive Gold Select - HMO
- University of Michigan Health Plan HMO Exclusive Gold Standard - HMO
- University of Michigan Health Plan HMO Exclusive Silver - HMO
- University of Michigan Health Plan HMO Exclusive Silver Select Plus - HMO
- University of Michigan Health Plan HMO Exclusive Silver Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Dennis Vanwormer is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2860689973
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20101214001305
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
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.
This service was performed 36 times for 31 patientsThis 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.
This service was performed 66 times for 49 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 39 times for 32 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Dennis Vanwormer is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| COREWELL HEALTH PENNOCK HOSPITAL | 1009 W GREEN ST HASTINGS, MI 49058 | (269) 945-3451 | Critical Access Hospitals |
Reviews for DR. DENNIS SETH VANWORMER D.O.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 2 | 9 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 2 | 18 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 2 + 1 + 8 + 5 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1336129568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487913158 | DR. ADAM ZACHARY MITCHELL D.O. Individual | Family Medicine | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1568973345 | NICHOLE ANNE BUNDSCHUH Individual | Nurse Practitioner (Family) | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1851899959 | JAIME BURNS NP Individual | Nurse Practitioner (Family) | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1881193639 | ANDREW KINGSBURY NP Individual | Nurse Practitioner | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1982017265 | JAMIE JEAN MCCARTNEY M.D. Individual | Family Medicine | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1366105967 | AMANDA RENEE BUYZE PA Individual | Physician Assistant | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1861912537 | SPECTRUM HEALTH PRIMARY CARE PARTNERS Organization | Family Medicine | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1952449027 | MS. MEGHAN JACOBS P.A. Individual | Physician Assistant | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
| 1174254213 | PAYTON MATTHEW HIRSCHENBERGER PA Individual | Physician Assistant | 9090 S RODGERS CT SE STE A CALEDONIA, MI 49316 (616) 891-0422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336129568, enumerated in the NPI registry as an "individual" on January 23, 2006
The provider is located at 9090 S Rodgers Ct Se Ste A Caledonia, Mi 49316 and the phone number is (616) 891-0422
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 42 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 1984.
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Established patient office or other outpatient visit, 40-54 minutes.
The practitioner is affiliated to the following hospital(s): COREWELL HEALTH PENNOCK HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.