DR. JAMES M REGAN M.D.
NPI 1093061905
Surgery - Surgical Critical Care in Grand Rapids, MI

Active since July 29, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503(616) 486-9600 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2021, Mar 17, 2018, Jul 31, 2017 and 1 more (4 updates tracked since 2016).

About Dr. James M Regan M.d. NPPES

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

DR. JAMES M REGAN M.D. (NPI 1093061905) is an individual surgical critical care provider in Grand Rapids, Michigan, licensed in Michigan (4301113482) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093061905
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JAMES M REGANCredential: M.D.
Location Address221 MICHIGAN ST NE STE 400Grand Rapids, MI 49503-2538
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 29, 2012
Last NPPES UpdateOctober 4, 20214 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1093061905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in MI · 4301113482
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 125.062242 (IL), 4301113482 (MI)
221 MICHIGAN ST NE STE 400, Grand Rapids, MI 49503

Accepted 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. James M Regan 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 ID9931348885
PECOS Enrollment IDI20210817001208
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
38 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$69.89 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
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 James Regan's NPI number?

The NPI number for James Regan is 1093061905. It was assigned to this individual provider in the NPPES registry on July 29, 2012.

Where is James Regan located?

James Regan practices at 221 Michigan St NE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-9600.

What is James Regan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is James Regan enrolled in Medicare?

Yes. James Regan 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 James Regan accept?

Health plans from McLaren Health Plan Community and Priority Health list James Regan 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 James Regan affiliated with any hospitals?

According to CMS data, James Regan is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for James Regan was last updated on October 4, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.