DR. DAVID R ALFONSO M.D.
NPI 1093930190
Plastic Surgery in Grand Rapids, MI

Active since April 16, 2007PECOS Enrolled
220 LYON ST NW, SUITE 700, GRAND RAPIDS, MI 49503(616) 451-4500(616) 451-9077 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David R Alfonso M.d. NPPES

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

DR. DAVID R ALFONSO M.D. (NPI 1093930190) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301080202) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093930190
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. DAVID R ALFONSOCredential: M.D.
Location Address220 LYON ST NW, SUITE 700Grand Rapids, MI 49503-2208
Mailing Address220 Lyon St Nw, Suite 700Grand Rapids, MI 49503-2208 · (616) 451-4500 · Fax (616) 451-9077
Fax(616) 451-9077
Sole ProprietorYes
Enumeration DateApril 16, 2007
Last NPPES UpdateNovember 20, 2018
NPI 1093930190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MI · 4301080202
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License 4301080202 (MI)
220 LYON ST NW, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. David R Alfonso M.d. 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 9

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

Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
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 David Alfonso's NPI number?

The NPI number for David Alfonso is 1093930190. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is David Alfonso located?

David Alfonso practices at 220 Lyon St NW Suite 700, Grand Rapids, MI 49503. The listed phone number is (616) 451-4500.

What is David Alfonso's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is David Alfonso enrolled in Medicare?

Yes. David Alfonso is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Alfonso was last updated on November 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.