JACK E BELEN DO
NPI 1093792053
Internal Medicine - Pulmonary Disease in Farmington Hills, MI

Active since December 29, 2005PECOS Enrolled
80.99/100
CMS Quality Rating
28080 GRAND RIVER AVE STE 306N, FARMINGTON HILLS, MI 48336(947) 521-8968(248) 471-8061 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Oct 26, 2020, Mar 18, 2020 (3 updates tracked since 2020).

About Jack E Belen Do NPPES

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

JACK E BELEN DO (NPI 1093792053) is an individual pulmonary disease provider in Farmington Hills, Michigan, licensed in Michigan (5101006431) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093792053
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJACK E BELENCredential: DO
Location Address28080 GRAND RIVER AVE STE 306NFarmington Hills, MI 48336-5966
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849 · (947) 522-1862 · Fax (947) 522-0307
Fax(248) 471-8061
Sole ProprietorNo
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
NPI 1093792053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MI · 5101006431
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

28080 GRAND RIVER AVE STE 306N, Farmington Hills, MI 48336

Secondary Practice Locations 2

Location 139000 7 Mile Rd Ste 4200Livonia, MI 48152-1006 · Phone (947) 523-4410 · Fax (734) 542-3360
Location 21 William Carls DrCommerce Township, MI 48382-2201 · Phone (248) 937-3395 · Fax (248) 360-4712

Other Identifiers 1

Medicaid21770011MI

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 (PECOS)

Jack E Belen 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.

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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
63 services63 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
40 services39 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

Referred Medical Equipment & Supplies CMS DME claims 18

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers46 claims46 services$30.45 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers45 claims45 services$73.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers43 claims97 services$26.65 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers45 claims235 services$13.29 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers22 claims117 services$10.87 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
12 suppliers70 claims70 services$41.84 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 7

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

Internal Medicine (Cardiovascular Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Internal Medicine (Cardiovascular Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Internal Medicine (Infectious Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Internal Medicine (Infectious Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Nurse Practitioner (Acute Care)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Internal Medicine (Cardiovascular Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336
Internal Medicine (Infectious Disease)
28080 GRAND RIVER AVE STE 306N
FARMINGTON HILLS, MI 48336

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 Jack Belen's NPI number?

The NPI number for Jack Belen is 1093792053. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Jack Belen located?

Jack Belen practices at 28080 Grand River Ave Ste 306N, Farmington Hills, MI 48336. The listed phone number is (947) 521-8968.

What is Jack Belen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jack Belen enrolled in Medicare?

Yes. Jack Belen is registered in the Medicare PECOS enrollment system.

What insurance does Jack Belen accept?

Health plans from McLaren Health Plan Community list Jack Belen 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 Jack Belen was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.