DR. DUANE C BERKOMPAS MD
NPI 1174521116
Internal Medicine - Interventional Cardiology in Grand Rapids, MI
About Dr. Duane C Berkompas Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DUANE C BERKOMPAS MD (NPI 1174521116) is an individual interventional cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301063004) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Michigan State University College Of Human Medicine (1986).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Duane C Berkompas Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Duane Berkompas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 405 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 16
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Spectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Big Rapids Hospital
Acute Care Hospitals · Big Rapids, MICorewell Health Ludington Hospital
Acute Care Hospitals · Ludington, MICorewell Health Gerber Hospital
Critical Access Hospitals · Fremont, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
GRAND RAPIDS, MI 49525
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 Duane Berkompas's NPI number?
The NPI number for Duane Berkompas is 1174521116. It was assigned to this individual provider in the NPPES registry on July 13, 2005.
Where is Duane Berkompas located?
Duane Berkompas practices at 2900 Bradford St NE, Grand Rapids, MI 49525. The listed phone number is (616) 885-5000.
What is Duane Berkompas's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Duane Berkompas enrolled in Medicare?
Yes. Duane Berkompas 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.
Which organizations bill Medicare for Duane Berkompas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Duane Berkompas reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, MI). Each 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 Duane Berkompas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Duane Berkompas 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 1 other insurer list Duane Berkompas 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 Duane Berkompas affiliated with any hospitals?
According to CMS data, Duane Berkompas is affiliated with Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Ludington Hospital and Corewell Health Gerber Hospital.
When was this NPI record last updated?
The NPPES record for Duane Berkompas was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.