KODIE BLAIN DC
NPI 1073351052
Chiropractor in Grand Rapids, MI
About Kodie Blain Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KODIE BLAIN DC (NPI 1073351052) is an individual chiropractor in Grand Rapids, Michigan, licensed in Michigan (2301401549) and active in the NPI registry since July 2024. He is a graduate of Other (2024).
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
Kodie Blain Dc 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 Reassignment
Medicare enrollment records show Kodie Blain reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 8 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
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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49525
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 Kodie Blain's NPI number?
The NPI number for Kodie Blain is 1073351052. It was assigned to this individual provider in the NPPES registry on July 16, 2024.
Where is Kodie Blain located?
Kodie Blain practices at 4150 E Beltline Ave NE Ste 3, Grand Rapids, MI 49525. The listed phone number is (616) 447-9888.
What is Kodie Blain's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kodie Blain enrolled in Medicare?
Yes. Kodie Blain 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 organization bills Medicare for Kodie Blain's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kodie Blain reassigns Medicare benefits to Peak Performance Integrated Medicine, Plc (Grand Rapids, MI). The 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 Kodie Blain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kodie Blain 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 1 other insurer list Kodie Blain 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.
When was this NPI record last updated?
The NPPES record for Kodie Blain was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kodie Blain, DC · NPI 1073351052
Chiropractor provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 16, 2024.
## Identity
- **NPI:** 1073351052 (Entity type: Individual)
- **Enumerated:** July 16, 2024
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2301401549 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4150 E BELTLINE AVE NE STE 3, Grand Rapids, MI 49525-9316
- **Phone:** (616) 447-9888 · **Fax:** (616) 447-9886
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Peak Performance Integrated Medicine, Plc (NPI 1932250693, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 16, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1073351052) · Data from the CMS NPPES public registry.