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BROCK GOLEMBIESKI PA-C
NPI 1124668215
Physician Assistant in Grand Rapids, MI

Active since January 07, 2020PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 685-6781 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Brock Golembieski Pa-c NPPES

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

BROCK GOLEMBIESKI PA-C (NPI 1124668215) is an individual physician assistant in Grand Rapids, Michigan and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124668215
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBROCK GOLEMBIESKICredential: PA-C
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address5394 Naples Cedar Dr SwWyoming, MI 49519-9652 · (616) 299-0675
Phone(616) 685-6781
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
✔ NPI 1124668215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Brock Golembieski Pa-c 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 ID3870929862
PECOS Enrollment IDI20200211002080
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
60 services60 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.
58 services46 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
53 services52 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.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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 20

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

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

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 Brock Golembieski's NPI number?

The NPI number for Brock Golembieski is 1124668215. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Brock Golembieski located?

Brock Golembieski practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 685-6781.

What is Brock Golembieski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brock Golembieski enrolled in Medicare?

Yes. Brock Golembieski 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 Brock Golembieski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Brock Golembieski 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 Brock Golembieski affiliated with any hospitals?

According to CMS data, Brock Golembieski is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Brock Golembieski was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.