Active NPI 1215299367 Individual Practitioner Male Practitioner

Dr. Kevin Benjamin Vandenbosch , OD

Optometrist • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Vandenbosch, OD is a certified Optometrist practicing in Jackson, MI. With approximately 18 years of clinical experience since graduating from Indiana University - School Of Optometry in 2008, Dr. Vandenbosch delivers high-quality medical care to the local community at 1116 W GANSON ST.

Dr. Vandenbosch is affiliated with Mid Michigan Eye Care Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1116 W Ganson St

Jackson, MI 492024240

Telephone 8778528463

Fax 5177825166

Associated Practice Facility / Clinic

🏢 Mid Michigan Eye Care Center, Pc Facility NPI 1649275041

Medicare Profile & Education

Medical School

Indiana University - School Of Optometry

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Jackson, MI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -0.9 yrs vs City Avg

City Avg: 18.9 Yrs

State Avg: 21.1 Yrs

Regional Practice Density

26 Specialists

Practicing in Jackson, MI (2032 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vandenbosch (18 Years) 18 Yrs

Jackson Specialty Average (18.9 Years) 18.9 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
92014 Established patient complete exam of visual system	332	332	$200.00	$123.32
99213 Established patient office or other outpatient visit, typically 15 minutes	98	81	$150.00	$91.21
92134 Imaging of retina	51	51	$100.00	$39.59
92004 New patient complete exam of visual system	33	33	$225.00	$146.15
92133 Imaging of optic nerve	26	26	$100.00	$33.45
92083 Exam of visual field with extended testing	18	18	$135.00	$59.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$200.00	$128.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	393	392	$200.00	$127.03
99213 Established patient office or other outpatient visit, typically 15 minutes	121	88	$150.00	$90.93
92134 Imaging of retina	96	95	$100.00	$40.48
92004 New patient complete exam of visual system	59	59	$225.00	$148.45
92133 Imaging of optic nerve	40	38	$100.00	$35.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$200.00	$130.78
92083 Exam of visual field with extended testing	29	29	$135.00	$62.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$115.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	340	337	$200.00	$128.11
99213 Established patient office or other outpatient visit, typically 15 minutes	126	109	$150.00	$92.78
92134 Imaging of retina	108	107	$100.00	$41.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	85	$200.00	$128.14
92133 Imaging of optic nerve	40	39	$100.00	$35.07
92004 New patient complete exam of visual system	34	34	$225.00	$151.61
92083 Exam of visual field with extended testing	29	28	$135.00	$61.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$110.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	162	162	$200.00	$129.11
99213 Established patient office or other outpatient visit, typically 15 minutes	116	91	$149.31	$93.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	76	$200.00	$134.70
92134 Imaging of retina	48	48	$100.00	$41.94
92004 New patient complete exam of visual system	43	43	$226.51	$153.94
92133 Imaging of optic nerve	31	30	$100.00	$36.49
92083 Exam of visual field with extended testing	22	21	$135.00	$64.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$117.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	111	111	$200.00	$129.81
92012 Established patient problem focused exam of visual system	46	38	$135.00	$90.98
99213 Established patient office or other outpatient visit, typically 15 minutes	35	29	$110.00	$77.54
92134 Imaging of retina	27	26	$100.00	$42.08
92004 New patient complete exam of visual system	20	20	$240.00	$153.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$165.00	$113.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	168	168	$200.00	$127.10
99213 Established patient office or other outpatient visit, typically 15 minutes	58	47	$110.00	$75.55
92134 Imaging of retina	33	32	$100.00	$41.44
92004 New patient complete exam of visual system	25	25	$240.00	$149.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$165.00	$111.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	133	132	$200.00	$125.97
99213 Established patient office or other outpatient visit, typically 15 minutes	52	44	$110.00	$74.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	17	$65.00	$44.48
92134 Imaging of retina	28	26	$100.00	$41.91
92004 New patient complete exam of visual system	20	20	$240.00	$149.32
92012 Established patient problem focused exam of visual system	14	14	$135.00	$85.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	107	106	$200.00	$118.03
99213 Established patient office or other outpatient visit, typically 15 minutes	45	43	$110.00	$69.65
92134 Imaging of retina	30	29	$100.00	$39.23
92004 New patient complete exam of visual system	28	28	$240.00	$141.29
92012 Established patient problem focused exam of visual system	18	18	$135.00	$82.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$65.00	$41.69

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MI 4901004710

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Hospital & Practice Group Affiliations

Mid Michigan Eye Care Center Pc

1600 Commerce Park Dr, Chelsea, MI 481181620

Phone: 8005517347

Practice Associates & Co-Workers

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

17 Associated Practitioners

Dr. James Bailey , DO

Ophthalmology

NPI 1023758489

Doctor of Osteopathic Medicine (D.O.)

Dr. Emma Kain , OD

Student in an Organized Health Care Education/Training Program

NPI 1134012479

Doctor of Optometry

Dr. Lindsay Klumpp , OD

Optometrist

NPI 1174923189

Doctor of Optometry

Dr. Stephanie George , OD

Optometrist

NPI 1215786934

Doctor of Optometry

Dr. Mahmoud El-Yassir , MD

Ophthalmology

NPI 1245590868

Doctor of Medicine (M.D.)

Dr. Luis Gago , MD

Ophthalmology

NPI 1386704781

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 14, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2012

Registered at 1116 W GANSON ST, JACKSON, MI 492024240 (Tel: 8778528463)

📍

Updated Business Mailing Address June 14, 2012

Registered at 4615 BREMER ST SW, GRANDVILLE, MI 494182239 (Tel: 6162405632)

👤

Provider Name / Credentials Updated June 14, 2012

Recorded as KEVIN VANDENBOSCH, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2012

Optometrist (License #4901004710 in MI)

🟢

Initial NPI Registration & Enumeration June 14, 2012

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: 1215299367

Entity Type:

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

Enumeration Date: June 14, 2012

Last Update: June 14, 2012

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4615 Bremer St Sw

Grandville, MI 494182239

Phone: 6162405632

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.