Active NPI 1801849120 Individual Practitioner Male Practitioner

Dr. Theodore J. Vanderkooi , MD

Surgery • Fremont, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Vanderkooi, MD is a certified Surgery practicing in Fremont, MI. With approximately 31 years of clinical experience since graduating from University Of Michigan Medical School in 1995, Dr. Vanderkooi delivers high-quality medical care to the local community at 230 W OAK ST.

Dr. Vanderkooi is affiliated with Muskegon Surgical Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

230 W Oak St
Suite 201

Fremont, MI 494121575

Telephone 2319244200

Fax 6162679046

Associated Practice Facility / Clinic

🏢 Pine Medical Group, Pc Facility NPI 1770791147

Medicare Profile & Education

Medical School

University Of Michigan Medical School

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fremont, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +13.2 yrs vs City Avg

City Avg: 17.8 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

6 Specialists

Practicing in Fremont, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanderkooi (31 Years) 31 Yrs

Fremont Specialty Average (17.8 Years) 17.8 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	23	$104.00	$47.17
99213 Established patient office or other outpatient visit, typically 15 minutes	23	17	$246.00	$86.05
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$269.00	$79.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$304.00	$106.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	15	$104.00	$48.21
99213 Established patient office or other outpatient visit, typically 15 minutes	20	16	$246.00	$85.95
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$269.00	$80.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$304.00	$107.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	29	$103.59	$37.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	25	$191.00	$68.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$303.68	$104.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$153.00	$54.38
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$269.00	$90.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$361.58	$130.94
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$245.67	$87.64
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$50.00	$18.03
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$907.00	$324.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	20	$102.02	$37.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$191.00	$70.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$361.00	$132.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$450.00	$163.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$348.00	$125.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$302.00	$108.95
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$245.00	$88.51
99238 Hospital discharge day management, 30 minutes or less	13	12	$191.00	$69.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	24	$103.00	$38.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	22	$189.00	$71.39
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$194.47	$72.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$282.86	$105.62
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$197.50	$73.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$359.83	$136.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$428.91	$159.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	121	50	$103.00	$37.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	45	$281.00	$104.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$282.00	$104.16
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$265.00	$95.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$191.00	$71.15
99238 Hospital discharge day management, 30 minutes or less	13	13	$191.00	$71.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$273.00	$101.73
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	11	$621.00	$153.52
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$503.00	$178.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	117	54	$103.02	$37.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$283.58	$102.47
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	27	$191.00	$70.22
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	23	23	$909.48	$333.28
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$191.64	$68.97
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	21	$49.05	$18.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$281.90	$102.10
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$265.00	$98.02
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$198.63	$70.96
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$621.00	$182.31
43246 Insertion of stomach tube using a flexible endoscope	11	11	$557.64	$200.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	45	45	$658.22	$174.34
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	25	$693.32	$103.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	23	$755.38	$257.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$135.83	$70.41
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	15	15	$511.87	$179.42
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$201.14	$99.11
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$203.00	$71.41
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$512.08	$187.35

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 065627

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.

Hospital & Practice Group Affiliations

Muskegon Surgical Associates Pc

1316 Mercy Dr, Muskegon, MI 494441835

Phone: 2317399461

Practice Associates & Co-Workers

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

38 Associated Practitioners

Autumn Dittenber , PA-C

Physician Assistant

NPI 1013461581

Physician Assistant (Certified)

Dr. Brian Hood , DO

Orthopaedic Surgery

NPI 1023009453

Doctor of Osteopathic Medicine (D.O.)

Dr. Eric Weaver , MD

Family Medicine

NPI 1023231008

Doctor of Medicine (M.D.)

Dr. Douglas Johnson , MD

Surgery

NPI 1043262918

Doctor of Medicine (M.D.)

Dr. Donald Reinders , MD

Family Medicine

NPI 1083665707

Doctor of Medicine (M.D.)

Jessica Mcwatters , PA-C

Physician Assistant

NPI 1124889852

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 11, 2014

Registered at 230 W OAK ST, SUITE 201, FREMONT, MI 494121575 (Tel: 2319244200)

📍

Updated Business Mailing Address July 11, 2014

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

👤

Provider Name / Credentials Updated July 11, 2014

Recorded as THEODORE VANDERKOOI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2014

Surgery (License #065627 in MI)

🟢

Initial NPI Registration & Enumeration May 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801849120

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: July 11, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

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.