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BRYAN D ANDERSON PAC
NPI 1023417581
Physician Assistant - Surgical in Grand Rapids, MI

Active since August 20, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 459-7258(616) 459-5215 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 9, 2022, Feb 24, 2021 (2 updates tracked since 2021).

About Bryan D Anderson Pac NPPES

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

BRYAN D ANDERSON PAC (NPI 1023417581) is an individual surgical provider in Grand Rapids, Michigan, licensed in Michigan (5601007077) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023417581
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameBRYAN D ANDERSONCredential: PAC
Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 459-7258
Fax(616) 459-5215
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 20, 2014
Last NPPES UpdateMarch 9, 20222 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1023417581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in MI · 5601007077
221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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

Bryan D Anderson Pac 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 ID2163641671
PECOS Enrollment IDI20140916001211
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.

Hospital Affiliations CMS Care Compare

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

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

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
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

DAVID RANNEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
DR. NEAL MATTHEW FOLEY D.O.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (512) 789-5674
DAVID DREW PA-C
Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
ELIZABETH VICTORIA BALAJ PA-C
Physician Assistant
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
EDWARD T MURPHY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
JENNIFER KEEGSTRA
Nurse Practitioner
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
MARZIA LEACCHE M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258
DR. BRITTON BLAINE DONATO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7258

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 Bryan Anderson's NPI number?

The NPI number for Bryan Anderson is 1023417581. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Where is Bryan Anderson located?

Bryan Anderson practices at 221 Michigan St NE Ste 300, Grand Rapids, MI 49503. The listed phone number is (616) 459-7258.

What is Bryan Anderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Bryan Anderson enrolled in Medicare?

Yes. Bryan Anderson 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 Bryan Anderson accept?

Health plans from McLaren Health Plan Community and Priority Health list Bryan Anderson 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 Bryan Anderson affiliated with any hospitals?

According to CMS data, Bryan Anderson is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Bryan Anderson was last updated on March 9, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.