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DR. MARCUS SALIM MUALLEM MD
NPI 1194927335
Ophthalmology in Grand Rapids, MI

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
74.01/100
CMS Quality Rating
750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 949-2600(616) 954-0213 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marcus Salim Muallem Md NPPES

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

DR. MARCUS SALIM MUALLEM MD (NPI 1194927335) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4301090063) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1194927335
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARCUS SALIM MUALLEMCredential: MD
Location Address750 E BELTLINE AVE NEGrand Rapids, MI 49525-6049
Mailing Address750 E Beltline Ave NeGrand Rapids, MI 49525-6049 · (616) 949-2600 · Fax (616) 954-0213
Phone(616) 949-2600
Fax(616) 954-0213
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 1, 2007
Last NPPES UpdateJune 9, 2008
✔ NPI 1194927335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301090063
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
750 E BELTLINE AVE NE, Grand Rapids, MI 49525
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Other Identifiers 4

OtherP00458706MI · Medicare Rr
Medicaid5189883MI
Medicare PIN0D17001MI
Medicare NSC0364980001MI

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

Dr. Marcus Salim Muallem 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 ID5799878476
PECOS Enrollment IDI20070911000906
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 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
199 services130 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
165 services112 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
155 services97 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
120 services120 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
98 services94 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services51 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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.

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.

74.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability97
Improvement Activities40
Cost15.89

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.

DR. LAURA J PIIPPO M.D.
Ophthalmology
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 949-2600
DR. ROBERT J ROOSENBERG M.D.
Ophthalmology
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 949-2600
GRO OPTICAL, LLC
Eyewear Supplier
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 942-1350
DR. MARK E SHELDON MD
Ophthalmology
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 949-2600
DR. RACHEL GATES O.D.
Optometrist
750 E BELTLINE AVE NE, STE 202
GRAND RAPIDS, MI 49525
Kent County (616) 588-6542
BRIAN M DOLPHIN OD
Optometrist
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 949-2600
DR. GREGORY LEON PATERA O.D.
Optometrist
750 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 949-2600
DERMATOLOGY CENTER OF GRAND RAPIDS PC
Dermatology
750 E BELTLINE AVE NE, SUITE 301
GRAND RAPIDS, MI 49525
Kent County (616) 942-9343

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 Marcus Muallem's NPI number?

The NPI number for Marcus Muallem is 1194927335. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Marcus Muallem located?

Marcus Muallem practices at 750 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 949-2600.

What is Marcus Muallem's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marcus Muallem enrolled in Medicare?

Yes. Marcus Muallem 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 Marcus Muallem 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 7 other insurers list Marcus Muallem 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 Marcus Muallem affiliated with any hospitals?

According to CMS data, Marcus Muallem is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Marcus Muallem was last updated on June 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.