Timothy Vandenboom, M.D.
NPI 1629344189 · Dermatopathology Physician · Ypsilanti, MI
Enrolled with Medicare as Practitioner - Pathology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Timothy Vandenboom, M.D. is a Dermatopathology Physician provider in Ypsilanti, MI (NPI 1629344189).
Provider details
- NPI number
- 1629344189
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 125062313 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
14 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
2,330 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Pathology Examination of Tissue Using a Microscope, Intermediate Complexity88305 | 1,837 | $35 |
| Pathology Examination of Tissue Using a Microscope, Moderately Low Complexity88304 | 139 | $11 |
| Special Stained Specimen Slides to Identify Organisms Including Interpretation and Report88312 | 122 | $25 |
| Special Stained Specimen Slides to Examine Tissue, Each Additional Procedure88341 | 115 | $26 |
| Special Stained Specimen Slides to Examine Tissue, Initial Procedure88342 | 97 | $33 |
| Surgical Pathology Consultation and Report on Referred Slides Prepared Elsewhere88321 | 20 | $81 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$46 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 676 N Saint Clair StSuite 1765Chicago, IL 60611-2927Phone: (312) 695-1413
- 1314 N Macomb StMonroe, MI 48162-3131Phone: (800) 746-5870
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2021-04-26
- Certified
- 2021-04-26
Frequently asked questions
- What is Timothy Vandenboom's NPI number?
- Timothy Vandenboom's National Provider Identifier (NPI) is 1629344189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Vandenboom's specialty?
- Timothy Vandenboom is listed in the NPPES registry with a primary specialty of Dermatopathology Physician (Allopathic & Osteopathic Physicians).
- Where is Timothy Vandenboom located?
- Timothy Vandenboom's practice location on file with NPPES is 5301 E Huron River Dr, Ypsilanti, MI 48197-1051.
- What is Timothy Vandenboom's phone number?
- The practice phone number listed in the NPPES registry for Timothy Vandenboom is (734) 712-3161.
- Does Timothy Vandenboom accept Medicare?
- Timothy Vandenboom is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Timothy Vandenboom's NPI active?
- Yes — Timothy Vandenboom's NPI (1629344189) is active in the NPPES registry as of the last update on 2021-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.