ANDREW JOHN ALBERT MD
NPI 1184285983
Orthopaedic Surgery in Grand Rapids, MI

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: August 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2023, Aug 26, 2020, Jul 12, 2019 and 1 more (4 updates tracked since 2019).

About Andrew John Albert Md NPPES

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

ANDREW JOHN ALBERT MD (NPI 1184285983) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351045637) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Michigan State University College Of Human Medicine (2019).

NPPES Registry Identity

NPI1184285983
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameANDREW JOHN ALBERTCredential: MD
Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537
Mailing Address221 Michigan St Ne Ste 300Grand Rapids, MI 49503-2537
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2019
Enumeration DateJune 24, 2019
Last NPPES UpdateAugust 26, 20234 updates tracked since enumeration
NPPES CertifiedAugust 26, 2023
NPI 1184285983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4351045637
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503

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

Andrew John Albert 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.

PECOS PAC ID2961736459
PECOS Enrollment IDI20251030002713
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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
46 services13 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
30 services16 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
21 services12 patients
Fusion of spine in lower back 22612
Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.
14 services14 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin 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.

Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant (Surgical)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 300
GRAND RAPIDS, MI 49503
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 MICHIGAN ST NE STE 300
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 Andrew Albert's NPI number?

The NPI number for Andrew Albert is 1184285983. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Andrew Albert located?

Andrew Albert practices at 221 Michigan St NE Ste 300, Grand Rapids, MI 49503. The listed phone number is (616) 391-6243.

What is Andrew Albert's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Andrew Albert enrolled in Medicare?

Yes. Andrew Albert 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 Andrew Albert accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Andrew Albert 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 Andrew Albert affiliated with any hospitals?

According to CMS data, Andrew Albert is affiliated with Tanner Medical Center - Carrollton and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Andrew Albert was last updated on August 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.