CHRISTINA MARIA SUPINO DO
NPI 1073192555
Surgery - Vascular Surgery in Grand Rapids, MI

Q: What is Christina Supino's NPI number?

The NPI number for Christina Supino is 1073192555. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Christina Supino's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Christina Supino was last updated on April 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 03, 2021PECOS Enrolled

275 MICHIGAN ST NE FL 6, GRAND RAPIDS, MI 49503(616) 267-8700 Get Directions Write a Review

NPPES record last updated: April 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Apr 3, 2021 (2 updates tracked since 2021).

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About Christina Maria Supino Do NPPES

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

CHRISTINA MARIA SUPINO DO (NPI 1073192555) is an individual vascular surgery provider in Grand Rapids, Michigan, licensed in Michigan (5151014961) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073192555

Entity TypeIndividualFemale

Primary Taxonomy2086S0129X

Provider Legal NameCHRISTINA MARIA SUPINOCredential: DO

Location Address275 MICHIGAN ST NE FL 6Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 6Grand Rapids, MI 49503-2531 · (616) 267-8700

Phone(616) 267-8700

Sole ProprietorNo

Enumeration DateApril 3, 2021

Last NPPES UpdateApril 19, 20252 updates tracked since enumeration

NPPES CertifiedApril 19, 2025

✔ NPI 1073192555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in MI · 5151014961

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

275 MICHIGAN ST NE FL 6, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Christina Maria Supino Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

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 5

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

BENJAMIN TALBOT MD

Surgery (Vascular Surgery)