GUSTAVO CUMBO-NACHELI
NPI 1013124312
Internal Medicine - Pulmonary Disease in Grand Rapids, MI

Q: What is Gustavo Cumbo-nacheli's NPI number?

The NPI number for Gustavo Cumbo-nacheli is 1013124312. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is Gustavo Cumbo-nacheli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since May 17, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4100 LAKE DR SE, SUITE 200, GRAND RAPIDS, MI 49546(616) 267-8244(616) 267-7272 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2021, Feb 28, 2017 (2 updates tracked since 2017).

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About Gustavo Cumbo-nacheli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO CUMBO-NACHELI (NPI 1013124312) is an individual pulmonary disease provider in Grand Rapids, Michigan, licensed in Michigan (4301086233) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1013124312

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameGUSTAVO CUMBO-NACHELI

Location Address4100 LAKE DR SE, SUITE 200Grand Rapids, MI 49546-8292

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-8244

Fax(616) 267-7272

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateMay 17, 2007

Last NPPES UpdateMay 20, 20242 updates tracked since enumeration

NPPES CertifiedMay 20, 2024

✔ NPI 1013124312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in MI · 4301086233

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 4301086233 (MI)

4100 LAKE DR SE, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gustavo Cumbo-nacheli is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638325012

PECOS Enrollment IDI20120820000402

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 3 or more lymph nodes 31653

This procedure involves using a special scope and ultrasound to examine your lung airways and sample tissue from 3 or more lymph nodes. It aids in diagnosing lung conditions and checking lymph node health.

40 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

31 services19 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

26 services26 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services15 patients

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope 31629

A needle biopsy of windpipe cartilage, airway, or lung involves using a thin, flexible tube with a camera (endoscope) to access and collect tissue samples. This procedure helps doctors diagnose lung conditions or diseases effectively and safely.

14 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

14 services13 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

13 services11 patients

Computer-assisted image-guided navigation of lung airways using an endoscope 31627

This procedure involves the use of a special camera, called an endoscope, and computer technology to create real-time images of your lung airways. This helps doctors navigate through your lungs accurately, aiding in diagnosis or treatment.

12 services12 patients

Biopsy of lobe of lung using an endoscope, 1 lobe 31628

A lung biopsy is a procedure where a small piece of lung tissue is taken for testing. An endoscope, a flexible tube with a light and camera, is used. It's inserted through the mouth or nose, down the windpipe, and into one lobe of the lung.

12 services12 patients

Biopsy of lung airway using an endoscope 31625

A biopsy of the lung airway using an endoscope is a procedure where a small, flexible tube with a light and camera is inserted through your mouth or nose to reach your lungs. A tiny tool on the endoscope collects a small tissue sample for examination.

11 services11 patients

Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound 31654

This procedure involves using a specialized instrument, called an endoscope, to examine the lung airways. An ultrasound is also used to get a clearer image of any growths. If necessary, the doctor can perform procedures to diagnose or treat these growths.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TELLA KATARINA MINKKINEN PT

Physical Therapist

4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546

Kent County (616) 285-1377

RANDALL SCOTT MEISNER MD

Internal Medicine (Gastroenterology)

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 267-7414

DR. MARYKAY LEHMAN M.D.

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 949-8244

JANET DOMINOWSKI RD

Dietitian, Registered

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

WALTER M BRAUNOHLER M.D.

Orthopaedic Surgery

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8860

JILL C THORPE PA-C

Physician Assistant

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 774-2414

PATRICIA BEGGS AT, ATC

Specialist/Technologist (Athletic Trainer)

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8565

JACOB P SCOTT MD

Internal Medicine (Critical Care Medicine)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Cumbo-nacheli's NPI number?

The NPI number for Gustavo Cumbo-nacheli is 1013124312. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Gustavo Cumbo-nacheli located?

Gustavo Cumbo-nacheli practices at 4100 Lake Dr SE Suite 200, Grand Rapids, MI 49546. The listed phone number is (616) 267-8244.

What is Gustavo Cumbo-nacheli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Gustavo Cumbo-nacheli enrolled in Medicare?

Yes. Gustavo Cumbo-nacheli is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gustavo Cumbo-nacheli accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Gustavo Cumbo-nacheli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gustavo Cumbo-nacheli affiliated with any hospitals?

According to CMS data, Gustavo Cumbo-nacheli is affiliated with Bronson Methodist Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Gustavo Cumbo-nacheli was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.