DR. STEPHEN M PREFONTAINE D.O.
NPI 1114953304
Family Medicine in Allendale, MI

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
4868-2 LAKE MICHIGAN DR, ALLENDALE, MI 49401(616) 391-2800(616) 391-7709 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Stephen M Prefontaine D.o. NPPES

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

DR. STEPHEN M PREFONTAINE D.O. (NPI 1114953304) is an individual family medicine provider in Allendale, Michigan, licensed in Michigan (5101011668) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1114953304
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STEPHEN M PREFONTAINECredential: D.O.
Location Address4868-2 LAKE MICHIGAN DRAllendale, MI 49401-7415
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 391-2800 · Fax (616) 391-7709
Fax(616) 391-7709
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1992
Enumeration DateJune 23, 2006
Last NPPES UpdateMarch 10, 2014
NPI 1114953304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101011668
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4868-2 LAKE MICHIGAN DR, Allendale, MI 49401

Other Identifiers 3

Medicare UPING14817MI
Medicare PINM33350219MI
Medicare PIN0D16321MI

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. Stephen M Prefontaine D.o. 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 ID4183701790
PECOS Enrollment IDI20080407000657
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
33 services33 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
32 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49401 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Physician Assistant
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Physician Assistant
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Family Medicine
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Family Medicine
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Physician Assistant
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Social Worker (Clinical)
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401
Family Medicine
4868-2 LAKE MICHIGAN DR
ALLENDALE, MI 49401

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 Stephen Prefontaine's NPI number?

The NPI number for Stephen Prefontaine is 1114953304. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Stephen Prefontaine located?

Stephen Prefontaine practices at 4868-2 Lake Michigan Dr, Allendale, MI 49401. The listed phone number is (616) 391-2800.

What is Stephen Prefontaine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Prefontaine enrolled in Medicare?

Yes. Stephen Prefontaine 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 Stephen Prefontaine 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 2 other insurers list Stephen Prefontaine 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 Stephen Prefontaine was last updated on March 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.