ERIK M RATCHFORD D.O. NPI 1003013392

Urology in Grand Rapids, MI

NPI 1003013392 Individual Male Years of Experience 15 Urology PECOS Enrolled Accepts Medicare Approved Payment

About ERIK RATCHFORD

Erik Ratchford is a provider established in Grand Rapids, Michigan and his medical specialization is urology with more than 15 years of experience. He graduated from Michigan State University College Of Osteopathic Medicine in 2007. The NPI number of Erik Ratchford is 1003013392 and was assigned on June 2007. The practitioner's primary taxonomy code is 208800000X with license number 5101017248 (MI). The provider is registered as an individual and his NPI record was last updated 9 years ago.

Erik Ratchford is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Erik Ratchford is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Mercy Health Saint Mary's, Spectrum Health, Spectrum Health Gerber Memorial and Spectrum Health United Hospital.

NPI

1003013392

Provider Name ERIK M RATCHFORD D.O.
Provider Location Address245 CHERRY ST SE, SUITE 202 GRAND RAPIDS, MI 49503
Provider Mailing Address245 CHERRY ST SE, SUITE 202 GRAND RAPIDS, MI 49503
GenderMale
NPI Entity TypeIndividual
Medical School NameMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-29-2007
Last Update Date07-18-2012


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.5101017248
License StateMI
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

ERIK M RATCHFORD D.O.
245 CHERRY ST SE,
SUITE 202
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-3551
Fax: (616) 459-1060

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Mailing Address

ERIK M RATCHFORD D.O.
245 CHERRY ST SE,
SUITE 202
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 459-3551
Fax: (616) 459-1060



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9931355088
PECOS Enrollment IDI20120806000885
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 343Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 73Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 38Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • 13Ultrasound of rectum (HCPCS:76872)
  • 11Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 11Biopsy of prostate gland (HCPCS:55700)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Erik Ratchford is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MERCY HEALTH SAINT MARY'S200 JEFFERSON AVENUE SE
GRAND RAPIDS, MI 49503
(616) 685-5000Acute Care Hospitals230059
SPECTRUM HEALTH100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
(616) 391-1774Acute Care Hospitals230038
SPECTRUM HEALTH GERBER MEMORIAL212 S SULLIVAN ST
FREMONT, MI 49412
(231) 924-3300Critical Access Hospitals231338
SPECTRUM HEALTH UNITED HOSPITAL615 S BOWER STREET
GREENVILLE, MI 48838
(616) 754-4691Acute Care Hospitals230035

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.