ORTHOPAEDIC ASSOCIATES OF MICHIGAN
NPI 1023021300
Orthopaedic Surgery in Grand Rapids, MI

Active since August 15, 2006CLIA 23D2037043 · Waiver
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2017, Feb 2, 2017 (2 updates tracked since 2017).

About Orthopaedic Associates Of Michigan NPPES

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

ORTHOPAEDIC ASSOCIATES OF MICHIGAN (NPI 1023021300) is a healthcare organization registered as an orthopaedic surgery in Grand Rapids, Michigan and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Brian Murray, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1023021300
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC
Location Address1111 LEFFINGWELL AVE NEGrand Rapids, MI 49525-6406
Mailing AddressPo Box 1347Indianapolis, IN 46206-1347 · (616) 459-7101
Fax(616) 464-6170
Organization SubpartNo
Authorized OfficialBrian MurrayChief Financial Officer · (616) 459-7101
Enumeration DateAugust 15, 2006
Last NPPES UpdateMay 28, 20242 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1023021300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License CP01303 (MI)
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525

Other Names 1

Doing Business AsOrthopaedic Associates Of Michigan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Orthopaedic Associates Of Michigan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20050628000610Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

69

Medicare enrollment records show 69 clinicians reassign Medicare billing to Orthopaedic Associates Of Michigan, which bills Medicare for the services they deliver. Of these, 56 practice at this address and 67 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Physical Therapist in Private Practice24
Orthopedic Surgery21
Occupational Therapist in Private Practice12
Physical Medicine and Rehabilitation4
Sports Medicine3
Hand Surgery2
Nurse Practitioner2
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 69
Orthopedic Surgery
NPI 1700874294
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1477231512
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1891783387
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1639610223
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1235127648
1111 LEFFINGWELL AVE NE SUITE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1801252051
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1497204853
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1356593537
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1376957134
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1346443702
1111 LEFFINGWELL AVE NE SUITE 200
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1710975156
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1326388422
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1053848929
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1518430487
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1174942817
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1265424196
1111 LEFFINGWELL AVE NE SUITE 200
Grand Rapids, MI 49525
(616) 957-4263
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1417272352
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOSSame address
Sports Medicine
NPI 1700873874
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Physical Medicine and Rehabilitation
NPI 1306833470
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
Sports Medicine
NPI 1720076219
1111 LEFFINGWELL AVE NE STE 100
Grand Rapids, MI 49525
(616) 459-7101
✔ PECOS✔ Accepts MedicareSame address
See all 69 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2037043

Orthopaedic Associates Of Michigan PC · Grand Rapids, MI
Active · expires Feb 16, 2028
CLIA Number23D2037043
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorJames R. Ellis
Laboratory Phone(616) 459-7101
Laboratory LocationOrthopaedic Associates Of Michigan PC1111 Leffingwell NE, Grand Rapids, MI 49525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Orthopaedic Associates Of Grand Rapids, PC's NPI number?

The NPI number for Orthopaedic Associates Of Grand Rapids, PC is 1023021300. It was assigned to this organization in the NPPES registry on August 15, 2006. The provider is doing business as Orthopaedic Associates Of Michigan.

Where is Orthopaedic Associates Of Grand Rapids, PC located?

Orthopaedic Associates Of Grand Rapids, PC is located at 1111 Leffingwell Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Orthopaedic Associates Of Grand Rapids, PC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Orthopaedic Associates Of Grand Rapids, PC enrolled in Medicare?

Yes. Orthopaedic Associates Of Grand Rapids, PC is registered in the Medicare PECOS enrollment system.

When is Orthopaedic Associates Of Grand Rapids, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Orthopaedic Associates Of Grand Rapids, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 69 clinicians in 8 Medicare specialties reassign their Medicare billing to Orthopaedic Associates Of Grand Rapids, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (24), Orthopedic Surgery (21) and Occupational Therapist in Private Practice (12). Of these, 56 practice at this address and 67 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Orthopaedic Associates Of Grand Rapids, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2037043) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Orthopaedic Associates Of Grand Rapids, PC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Orthopaedic Associates Of Grand Rapids, PC 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.

When was this NPI record last updated?

The NPPES record for Orthopaedic Associates Of Grand Rapids, PC was last updated on May 28, 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.