Active NPI 1366603318 Individual Practitioner Male Practitioner

Dr. Jon Vandervliet , MD

Anesthesiology • Ann Arbor, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jon Vandervliet, MD is a certified Anesthesiology practicing in Ann Arbor, MI. With approximately 18 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 2008, Dr. Vandervliet delivers high-quality medical care to the local community at 2006 HOGBACK RD.

Dr. Vandervliet maintains professional affiliations with Anesthesia Associates Of Ann Arbor Pllc, Huron Gastroenterology Associates P.C. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, ultrasonic guidance imaging supervision and interpretation for insertion of needle, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2006 Hogback Rd
Suite 5a

Ann Arbor, MI 481059750

Telephone 7347862317

Fax 7347864977

Associated Practice Facility / Clinic

🏢 Anesthesia Services Group, Pc Facility NPI 1437268992

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Ann Arbor, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -1.2 yrs vs City Avg

City Avg: 19.2 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

402 Specialists

Practicing in Ann Arbor, MI (1799 Statewide)

Telehealth Adoption Rate

1.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

93.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vandervliet (18 Years) 18 Yrs

Ann Arbor Specialty Average (19.2 Years) 19.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	62	62	$527.26	$73.26
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	24	24	$240.00	$28.77
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	23	22	$776.09	$81.67
64450 Injection of anesthetic agent, other peripheral nerve or branch	23	23	$622.91	$22.54
01402 Anesthesia for procedure for total knee joint replacement	22	22	$2094.55	$131.01
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	21	21	$1670.00	$70.14
00400 Anesthesia for procedure on skin of arms, legs, or trunk	17	16	$1110.59	$73.10
00812 Anesthesia for exam of colon using an endoscope	16	16	$620.00	$63.49
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	12	12	$1453.33	$90.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	73	73	$584.11	$66.01
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	33	31	$240.00	$30.09
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	32	31	$782.50	$75.37
00914 Anesthesia for removal of prostate including use of an endoscope	28	28	$1982.86	$128.46
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	25	24	$1088.00	$68.97
01402 Anesthesia for procedure for total knee joint replacement	24	22	$1986.67	$126.13
64450 Injection of anesthetic agent, other peripheral nerve or branch	23	21	$597.00	$20.71
00142 Anesthesia for lens surgery	23	23	$980.87	$62.09
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	23	21	$1670.00	$71.40
00812 Anesthesia for exam of colon using an endoscope	23	23	$540.43	$49.76
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	17	17	$1355.29	$87.00
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	14	12	$1348.57	$87.81
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	13	13	$2867.69	$204.92
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	11	11	$2923.64	$209.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	48	47	$590.63	$72.79
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	45	41	$240.00	$31.68
00142 Anesthesia for lens surgery	37	37	$990.27	$64.22
64450 Injection of anesthetic agent, other peripheral nerve or branch	31	30	$712.35	$27.57
00142 Anesthesia for lens surgery	30	30	$1002.67	$64.59
01402 Anesthesia for procedure for total knee joint replacement	28	27	$2211.43	$149.15
00914 Anesthesia for removal of prostate including use of an endoscope	26	26	$1956.92	$130.61
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	25	25	$716.80	$74.82
00910 Anesthesia for other procedure on urinary system through urethra	25	24	$1056.00	$68.51
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	24	23	$1670.00	$64.35
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	20	19	$1520.00	$99.75
01214 Anesthesia for total hip replacement	18	18	$2462.22	$176.89
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	17	17	$1167.06	$73.26
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	13	13	$1452.31	$95.39
00812 Anesthesia for exam of colon using an endoscope	12	12	$440.83	$50.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	70	70	$499.60	$80.51
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	57	57	$240.00	$32.64
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	33	32	$756.00	$88.18
00914 Anesthesia for removal of prostate including use of an endoscope	31	31	$1803.29	$126.09
01402 Anesthesia for procedure for total knee joint replacement	29	29	$2299.38	$163.78
64450 Injection of anesthetic agent, other peripheral nerve or branch	29	29	$699.76	$28.77
00142 Anesthesia for lens surgery	27	25	$946.81	$65.88
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	24	24	$1670.00	$66.24
00812 Anesthesia for exam of colon using an endoscope	20	20	$446.60	$59.23
00400 Anesthesia for procedure on skin of arms, legs, or trunk	19	18	$1337.37	$98.46
00142 Anesthesia for lens surgery	18	16	$983.89	$68.11
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	17	17	$1521.88	$120.93
00912 Anesthesia for removal of urinary bladder tumors including use of an endoscope	16	15	$1357.13	$95.16
00910 Anesthesia for other procedure on urinary system through urethra	15	13	$1139.60	$82.79
01214 Anesthesia for total hip replacement	15	15	$2546.13	$181.81
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	14	14	$2574.00	$206.84
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	12	12	$1078.00	$74.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	79	79	$451.90	$70.11
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	63	63	$240.00	$32.61
00142 Anesthesia for lens surgery	51	50	$948.16	$67.08
01402 Anesthesia for procedure for total knee joint replacement	32	32	$2083.81	$153.23
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	30	30	$570.73	$75.80
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	28	28	$1282.32	$67.04
00812 Anesthesia for exam of colon using an endoscope	25	25	$483.28	$59.47
00813 Anesthesia for procedure on small and large bowel using an endoscope	23	23	$728.61	$98.90
64416 Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter	22	22	$2500.00	$65.18
64450 Injection of anesthetic agent, other peripheral nerve or branch	21	21	$795.67	$36.97
00910 Anesthesia for other procedure on urinary system through urethra	20	20	$1085.70	$77.00
01214 Anesthesia for total hip replacement	18	18	$2498.22	$183.67
00918 Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope	17	16	$1485.65	$107.45
01638 Anesthesia for open or endoscopic total shoulder joint replacement	17	17	$2889.76	$212.69
64445 Injection of anesthetic agent and/or steroid into lower back and leg nerve (sciatic nerve)	16	16	$1670.00	$34.67
00914 Anesthesia for removal of prostate including use of an endoscope	16	16	$1896.13	$127.38
00865 Anesthesia for extensive removal of prostate	13	13	$3293.23	$243.22
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	13	12	$2321.85	$169.71
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	12	12	$1488.67	$106.99
00670 Anesthesia for procedure on spine and spinal cord	12	12	$3837.17	$284.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$478.00	$41.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	61	61	$556.33	$78.60
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	57	56	$240.00	$33.35
00142 Anesthesia for lens surgery	42	39	$938.67	$64.81
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	37	37	$919.08	$84.90
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	34	33	$1645.44	$75.60
01402 Anesthesia for procedure for total knee joint replacement	33	32	$2193.33	$159.59
01214 Anesthesia for total hip replacement	28	28	$2546.50	$186.24
00812 Anesthesia for exam of colon using an endoscope	22	22	$602.64	$70.62
00811 Anesthesia for procedure on large bowel using an endoscope	20	20	$1108.80	$75.13
00910 Anesthesia for other procedure on urinary system through urethra	18	18	$1086.56	$81.19
00142 Anesthesia for lens surgery	18	18	$1052.33	$72.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	15	$478.00	$36.63
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	15	15	$1170.40	$78.81
00400 Anesthesia for procedure on skin of arms, legs, or trunk	15	15	$1170.40	$82.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope	136	136	$723.09	$67.42
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope	98	94	$818.27	$77.90
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	55	55	$95.00	$32.80
00142 Anesthesia for lens surgery	42	39	$675.71	$63.94
00812 Anesthesia for exam of colon using an endoscope	30	30	$572.00	$52.44
00400 Anesthesia for procedure on skin of arms, legs, or trunk	29	29	$959.66	$90.67
01402 Anesthesia for procedure for total knee joint replacement	26	26	$1599.23	$154.48
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	20	19	$1045.00	$99.41
00813 Anesthesia for procedure on small and large bowel using an endoscope	19	19	$891.58	$82.63
36620 Insertion of artery tube for blood sampling or infusion through skin	19	19	$200.00	$45.37
00790 Anesthesia for procedure in upper abdomen including use of an endoscope	18	18	$1808.89	$174.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$125.00	$40.68
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	17	17	$450.00	$77.92
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	15	15	$682.00	$61.59
00910 Anesthesia for other procedure on urinary system through urethra	15	15	$784.67	$73.11
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	14	14	$895.71	$83.20
64447 Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)	14	14	$350.00	$65.22
01214 Anesthesia for total hip replacement	12	12	$1934.17	$190.63
01630 Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including	12	12	$1494.17	$146.58
64416 Continuous infusion of anesthetic agent and/or steroid into arm nerve bundle through catheter	11	11	$450.00	$83.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
00810 Anesthesia for procedure on lower intestine using an endoscope	97	97	$847.11	$82.83
00740 Anesthesia for procedure on gastrointestinal tract using an endoscope	58	58	$802.24	$78.50
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	41	41	$95.00	$32.80
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	37	$125.00	$40.15
00142 Anesthesia for lens surgery	36	36	$681.39	$63.61
01402 Anesthesia for procedure for total knee joint replacement	27	27	$1609.26	$156.38
01214 Anesthesia for total hip replacement	21	21	$1760.00	$170.52
64448 Continuous infusion of anesthetic agent and/or steroid into thigh nerve (femoral nerve) through catheter	20	20	$450.00	$74.30
00400 Anesthesia for procedure on skin of arms, legs, or trunk	18	18	$880.00	$82.26
00910 Anesthesia for other procedure on urinary system through urethra	15	15	$711.33	$65.28
01480 Anesthesia for open procedure on bones of lower leg, ankle and foot	15	15	$1063.33	$99.05
01810 Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand	14	14	$683.57	$61.45
01400 Anesthesia for other procedure or exam of knee joint using an endoscope	14	14	$903.57	$80.58
36620 Insertion of artery tube for blood sampling or infusion through skin	13	13	$200.00	$52.72
00810 Anesthesia for procedure on lower intestine using an endoscope	12	12	$880.00	$114.26
00840 Anesthesia for procedure in lower abdominal cavity including use of an endoscope	11	11	$1860.00	$185.04

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 4301092851

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1366603318 (MI)

Commercial Insurance / Payer ID Medicare Ptan

H17604112 (MI)

Commercial Insurance / Payer ID Michigan License

4301092851 (MI)

Hospital & Practice Group Affiliations

Huron Gastroenterology Associates P.c.

5300 Elliott Dr, Ypsilanti, MI 481978632

Phone: 7344346262

Anesthesia Associates Of Ann Arbor Pllc

5301 Mcauley Dr, Ypsilanti, MI 481971051

Phone: 7347123456

Anesthesia Associates Of Ann Arbor Pllc

620 Byron Rd, Howell, MI 488431002

Phone: 5175456316

Anesthesia Associates Of Ann Arbor Pllc

5301 E Huron River Dr, Ypsilanti, MI 481971051

Phone: 7347123456

Anesthesia Associates Of Ann Arbor Pllc

775 S Main St, Chelsea, MI 481181383

Phone: 7344753245

Anesthesia Associates Of Ann Arbor Pllc

7575 Grand River Rd, Brighton, MI 481149309

Phone: 8108447511

Anesthesia Associates Of Ann Arbor Pllc

2006 Hogback Rd, Ann Arbor, MI 481059750

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners

Nicole Trublowski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023553104

Certified Registered Nurse Anesthetist

Dr. Douglas Hoye , MD

Anesthesiology

NPI 1164607321

Doctor of Medicine (M.D.)

Dr. Joel Kileny , MD

Anesthesiology

NPI 1174784102

Doctor of Medicine (M.D.)

Kevin Mcclellan , CRNA

Nurse Anesthetist, Certified Registered

NPI 1194127928

Certified Registered Nurse Anesthetist

Dr. Dominik Choromanski , MD

Anesthesiology

NPI 1235368960

Doctor of Medicine (M.D.)

Rachel Estrada , CRNA

Nurse Anesthetist, Certified Registered

NPI 1235464280

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 06, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2013

Registered at 2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 481059750 (Tel: 7347862317)

📍

Updated Business Mailing Address May 06, 2013

Registered at 2006 HOGBACK RD, SUITE 5A, ANN ARBOR, MI 481059750 (Tel: 7347862317)

👤

Provider Name / Credentials Updated May 06, 2013

Recorded as JON VANDERVLIET, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2013

Anesthesiology (License #4301092851 in MI)

🟢

Initial NPI Registration & Enumeration June 23, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Jon Vandervliet. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366603318

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 23, 2008

Last Update: May 06, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2006 Hogback Rd, Suite 5a

Ann Arbor, MI 481059750

Phone: 7347862317

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.