Doctor profile · Federal record
Dr. Jason van Ittersum, M.D.
Dermatology Physician (CMS: Dermatology) · Procedural Dermatology Physician · Norton Shores, MI
- NPI 1750303079
- Accepts Medicare
- MIPS 90.3 / 100 · 2023
- 27 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6225 Prairie St
Norton Shores, MI 494447831
(231) 798-9500
fax (231) 798-9533 - Additional location
-
650 3 Mile RD Nw Ste 100
Grand Rapids, MI 495441624
(616) 784-9300
fax (616) 784-9308 - Mailing address
-
801 York St
Manitowoc, WI 542204630
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- March 28, 2024
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Michigan #4301074360 · Michigan #JV074360
- Medicaid
- MI #4532162
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1750303079. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,230
Distinct HCPCS
10
Medicare allowed
$241,229
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 784 | 165 | $6 | |
96910 |
Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 462 | 16 | $108 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 434 | 359 | $121 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 346 | 323 | $86 | |
11102 |
Biopsy of related skin growth, first growth | 285 | 270 | $91 | |
17000 |
Destruction of precancer skin growth, 1 growth | 268 | 243 | $49 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 110 | 110 | $157 | |
11103 |
Biopsy of related skin growth, each additional growth | 105 | 71 | $47 | |
17110 |
Destruction of skin growth, 1-14 growths | 104 | 95 | $102 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 82 | 82 | $107 |
In context: peer comparison
Among 2 peers in Norton Shores Dermatology Physician, average services per provider: 121. This provider delivers 27× the peer median.Open Payments
Industry payments received
All-time total
$31
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 1 | $30.51 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,409
Patients
1,586
Total drug cost
$367,139
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Betamethasone Dipropionate | Generic | 546 | 392 | $31,326 |
| Triamcinolone Acetonide | Generic | 423 | 301 | $3,509 |
| Clobetasol Propionate | Generic | 327 | 222 | $17,851 |
| Fluorouracil | Generic | 270 | 239 | $23,366 |
| Ketoconazole | Generic | 215 | 116 | $5,139 |
| Doxycycline Hyclate | Generic | 145 | 50 | $4,773 |
| Calcipotriene | Generic | 103 | 51 | $23,920 |
| Metronidazole | Generic | 98 | 68 | $12,319 |
| Mupirocin | Generic | 88 | 56 | $644 |
| Clindamycin Phosphate | Generic | 42 | 28 | $1,768 |
Frequently asked questions
What is Dr. Jason van Ittersum's medical specialty?
Dr. Jason van Ittersum practices Dermatology Physician in Norton Shores, MI.
Where does Dr. Jason van Ittersum practice?
Dr. Jason van Ittersum practices at 6225 Prairie St, Norton Shores, MI 494447831. Office phone: 2317989500.
What is Dr. Jason van Ittersum's NPI?
Dr. Jason van Ittersum's National Provider Identifier (NPI) is 1750303079, issued by NPPES.
Does Dr. Jason van Ittersum accept Medicare assignment?
Yes. Dr. Jason van Ittersum accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jason van Ittersum commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS 96910); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.