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SIERRA DEBENHAM
NPI 1063933745
Emergency Medicine in Grand Rapids, MI

Active since July 03, 2017PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
100 MICHIGAN AVENUE, GRAND RAPIDS, MI 49503(616) 391-3426 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2022, Dec 16, 2020, Jun 29, 2020 and 1 more (4 updates tracked since 2017).

About Sierra Debenham NPPES

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

SIERRA DEBENHAM (NPI 1063933745) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Washington (MD61368467) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Mountain West Medical Center, and is a graduate of University Of Utah School Of Medicine (2017).

NPPES Registry Identity

NPI1063933745
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameSIERRA DEBENHAM
Location Address100 MICHIGAN AVENUEGrand Rapids, MI 49503
Mailing Address1055 N Curtis RdBoise, ID 83706-1309 · (385) 355-5836
Phone(616) 391-3426
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 2017
Enumeration DateJuly 3, 2017
Last NPPES UpdateDecember 29, 20224 updates tracked since enumeration
NPPES CertifiedDecember 29, 2022
✔ NPI 1063933745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in WA · MD61368467✔ Licensed in MI · 4301113372✔ Licensed in OR · MD198668
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 MICHIGAN AVENUE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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

Sierra Debenham 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 ID3577833763
PECOS Enrollment IDI20221219000780
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
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.

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

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.

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.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

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 Sierra Debenham's NPI number?

The NPI number for Sierra Debenham is 1063933745. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Sierra Debenham located?

Sierra Debenham practices at 100 Michigan Avenue, Grand Rapids, MI 49503. The listed phone number is (616) 391-3426.

What is Sierra Debenham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Sierra Debenham enrolled in Medicare?

Yes. Sierra Debenham 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 Sierra Debenham accept?

Health plans from Molina Healthcare list Sierra Debenham 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 Sierra Debenham affiliated with any hospitals?

According to CMS data, Sierra Debenham is affiliated with Mountain West Medical Center and St Mark's Hospital.

When was this NPI record last updated?

The NPPES record for Sierra Debenham was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.