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MEGAN JILLAINE DUTCHER-CISNEROS D.O.
NPI 1205215308
Emergency Medicine in Grand Rapids, MI

Active since May 21, 2015PECOS EnrolledAccepts Medicare Assignment
4100 EMBASSY DRIVE SE, SUITE 400, GRAND RAPIDS, MI 49546(616) 285-8075 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Megan Jillaine Dutcher-cisneros D.o. NPPES

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

MEGAN JILLAINE DUTCHER-CISNEROS D.O. (NPI 1205215308) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101021687) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Ludington Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2015).

NPPES Registry Identity

NPI1205215308
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMEGAN JILLAINE DUTCHER-CISNEROSCredential: D.O.
Location Address4100 EMBASSY DRIVE SE, SUITE 400Grand Rapids, MI 49546
Mailing Address4100 Embassy Drive Se, Suite 400Grand Rapids, MI 49546 · (989) 583-6817
Phone(616) 285-8075
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2015
Enumeration DateMay 21, 2015
Last NPPES UpdateJuly 11, 2023
NPPES CertifiedJuly 11, 2023
✔ NPI 1205215308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101021687
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4100 EMBASSY DRIVE SE, Grand Rapids, MI 49546
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Other Names 1

Former Name (1)Megan Jillaine Dutcher D.o.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Megan Jillaine Dutcher-cisneros 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 ID4981902160
PECOS Enrollment IDI20170925002251
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Megan Dutcher-cisneros reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ecs Western Michigan PC
6.2 mi
Emergency Medicine
100 MICHIGAN ST NE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 265 clinicians in this Medicare group
NPI 1992281000 (616) 391-1730
Degara App, PLLC
53 mi
Emergency Medicine
401 W GREENLAWN AVE
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • 295 clinicians in this Medicare group
NPI 1265976971 (517) 975-6000
Covenant Medical Center, Inc.
86 mi
Urgent Care
5570 STATE ST
Saginaw, MI 48603
  • Reassigned Medicare billing, Michigan enrollment
  • 720 clinicians in this Medicare group
NPI 1831244466 (989) 583-0100
Marlette Regional Hospital
129 mi
Family Medicine
2771 ANGLE ST
Marlette, MI 48453
  • Reassigned Medicare billing, Michigan enrollment
  • 155 clinicians in this Medicare group
NPI 1730988999 (989) 912-6830
Deckerville Community Hospital Inc
149 mi
Critical Access
3559 PINE STREET
Deckerville, MI 48427
  • Reassigned Medicare billing, Michigan enrollment
  • 87 clinicians in this Medicare group
NPI 1619095718 (810) 376-2835

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 3

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.
68 services66 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.
42 services40 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.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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.

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 Megan Dutcher-cisneros's NPI number?

The NPI number for Megan Dutcher-cisneros is 1205215308. It was assigned to this individual provider in the NPPES registry on May 21, 2015. The provider is also known as Megan Jillaine Dutcher D.O..

Where is Megan Dutcher-cisneros located?

Megan Dutcher-cisneros practices at 4100 Embassy Drive SE Suite 400, Grand Rapids, MI 49546. The listed phone number is (616) 285-8075.

What is Megan Dutcher-cisneros's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Megan Dutcher-cisneros enrolled in Medicare?

Yes. Megan Dutcher-cisneros 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 Megan Dutcher-cisneros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Megan Dutcher-cisneros reassigns Medicare benefits to 5 organizations: Ecs Western Michigan PC (Grand Rapids, MI), Degara App, PLLC (Lansing, MI), Covenant Medical Center, Inc. (Saginaw, MI), Marlette Regional Hospital (Marlette, MI) and Deckerville Community Hospital Inc (Deckerville, 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 Megan Dutcher-cisneros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Megan Dutcher-cisneros accept?

Health plans from Priority Health list Megan Dutcher-cisneros 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 Megan Dutcher-cisneros affiliated with any hospitals?

According to CMS data, Megan Dutcher-cisneros is affiliated with Corewell Health Ludington Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Megan Dutcher-cisneros was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.