DR. NICHOLAS ALEXANDER STEPHANOFF M.D.
NPI 1033407689
Family Medicine in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

Active since July 18, 2011PECOS EnrolledAccepts Medicare Assignment

426 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7888 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2021, Sep 18, 2019, Sep 3, 2019 and 1 more (4 updates tracked since 2018).

On this page

About Dr. Nicholas Alexander Stephanoff M.d. NPPES

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

DR. NICHOLAS ALEXANDER STEPHANOFF M.D. (NPI 1033407689) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301099542) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1033407689

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICHOLAS ALEXANDER STEPHANOFFCredential: M.D.

Location Address426 MICHIGAN ST NEGrand Rapids, MI 49503-5609

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

Phone(616) 267-7888

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2011

Enumeration DateJuly 18, 2011

Last NPPES UpdateMarch 2, 20214 updates tracked since enumeration

NPPES CertifiedMarch 2, 2021

✔ NPI 1033407689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MI · 4301099542✔ Licensed in NM · MD2014-0512

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

426 MICHIGAN ST NE, Grand Rapids, MI 49503

Open in Google Maps ↗

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

Dr. Nicholas Alexander Stephanoff M.d. 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 ID8325362445

PECOS Enrollment IDI20180925002720

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 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric collaborative care management per calendar month, each additional 30 minutes 99494

Psychiatric collaborative care management is a treatment approach where a team of health professionals work together to provide optimal care. This includes monitoring your health, adjusting treatments, and coordinating care. If a session extends beyond the usual time, each additional 30 minutes is accounted for.

144 services20 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

105 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services39 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services19 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Initial psychiatric collaborative care management, first calendar month, first 70 minutes 99492

This is the first month of a mental health care program where a team of health professionals collaboratively manage your care. The first 70 minutes involve assessing your needs, creating a care plan, and coordinating services to support your mental wellbeing.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231323

Location300 N Patterson, Po Box 75Reed City, MI 49677 · Osceola County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

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.

Other Providers at the Same Location NPPES 19

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

MICHIGAN STREET OPTICAL

Durable Medical Equipment & Medical Supplies

426 MICHIGAN ST NE, SUITE 101
GRAND RAPIDS, MI 49503

Kent County (616) 459-1844

MARGUERITE B SOWERS PA-C

Physician Assistant (Medical)

426 MICHIGAN ST NE, SUITE 201
GRAND RAPIDS, MI 49503

Kent County (616) 459-8209

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Psychologist

426 MICHIGAN ST NE, SUITE 102
GRAND RAPIDS, MI 49503

Kent County (616) 391-2242

RITA DEKKER

Nurse Practitioner