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

Q: 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.

Q: What is David Alfonso's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Alfonso was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: October 18, 2026.

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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

Phone(616) 451-4500

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show David Alfonso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Hospitals

0.5 mi

Hospitalist

100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503

Reassigned Medicare billing, Michigan enrollment
405 clinicians in this Medicare group

NPI 1558407189 (616) 774-7377

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MR. STEVEN LOREN RINGLER M.D.

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

PLASTIC SURGERY ASSOCIATES PC

Plastic Surgery

220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

MR. DOUGLAS LEE VANDER WOUDE MD

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

MR. WILLIAM DAVID MOORE M.D.

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

MR. BRADLEY PAUL BENGTSON M.D.

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

MR. JOHN DAVID RENUCCI M.D.

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

PLASTIC SURGERY ASSOCIATES PC

Clinic/Center (Ambulatory Surgical)

220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

MR. DAVID ARTHUR VANDERWALL M.D.

Plastic Surgery

220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503

Kent County (616) 451-4500

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.

Which organization bills Medicare for David Alfonso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Alfonso reassigns Medicare benefits to Spectrum Health Hospitals (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 David Alfonso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for David Alfonso was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.