MATTHEW J HALEY MD
NPI 1073007381
Surgery in Grand Rapids, MI
About Matthew J Haley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW J HALEY MD (NPI 1073007381) is an individual surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301115389) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Wayne State University School Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew J Haley Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Matthew Haley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Wyoming, MI 49509
- Reassigned Medicare billing, Michigan enrollment
- 13 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIPhysician 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.
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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Matthew Haley's NPI number?
The NPI number for Matthew Haley is 1073007381. It was assigned to this individual provider in the NPPES registry on June 20, 2018.
Where is Matthew Haley located?
Matthew Haley practices at 221 Michigan St NE Ste 402, Grand Rapids, MI 49503. The listed phone number is (616) 391-1405.
What is Matthew Haley's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Matthew Haley enrolled in Medicare?
Yes. Matthew Haley 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.
Which organizations bill Medicare for Matthew Haley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Haley reassigns Medicare benefits to 3 organizations: Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI), Saint Mary's Health Services (Grand Rapids, MI) and West Michigan Surgical Specialists Plc (Wyoming, MI). Each 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 Matthew Haley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Haley 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 3 other insurers list Matthew Haley 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 Matthew Haley affiliated with any hospitals?
According to CMS data, Matthew Haley is affiliated with Mercy Health Saint Mary's and University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Matthew Haley was last updated on June 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Matthew J Haley, MD · NPI 1073007381
Surgery physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1073007381 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301115389 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 MICHIGAN ST NE STE 402, Grand Rapids, MI 49503-2538
- **Phone:** (616) 391-1405 · **Fax:** (616) 391-8611
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Advantage Health/Saint Mary's Medical Group (NPI 1376862151, Grand Rapids, MI); Saint Mary's Health Services (NPI 1063917425, Grand Rapids, MI); West Michigan Surgical Specialists Plc (NPI 1679508659, Wyoming, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** June 20, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073007381) · Data from the CMS NPPES public registry.