GREGORY MICHAEL MLACKER M.D.
NPI 1205219904
Radiology - Diagnostic Radiology in Grand Rapids, MI

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
84.16/100
CMS Quality Rating
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7272(616) 361-5828 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2021, Jun 18, 2020 (2 updates tracked since 2020).

About Gregory Michael Mlacker M.d. NPPES

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

GREGORY MICHAEL MLACKER M.D. (NPI 1205219904) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301504388) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1205219904
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameGREGORY MICHAEL MLACKERCredential: M.D.
Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7272 · Fax (616) 361-5828
Fax(616) 361-5828
Sole ProprietorNo
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 2015
Enumeration DateJune 30, 2015
Last NPPES UpdateJuly 15, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1205219904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in MI · 4301504388✔ Licensed in CA · A166901
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License L801239 (MI)
3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

Secondary Practice Locations 2

Location 1505 Parnassus AveSan Francisco, CA 94143-2204 · Phone (415) 353-1821
Location 244405 Woodward AvePontiac, MI 48341-5023 · Phone (248) 858-6233

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

Gregory Michael Mlacker M.d. 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 ID9931530961
PECOS Enrollment IDI20210629000524, I20221122000301
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

3

Medicare enrollment records show Gregory Mlacker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3264 N EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Florida and Michigan enrollments
  • 9 clinicians in this Medicare group
Internal Medicine
29201 TELEGRAPH RD STE 404N
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 407 clinicians in this Medicare group
Diagnostic Radiology
21003 MACK AVE
Grosse Pointe Woods, MI 48236
  • Reassigned Medicare billing, Michigan and Florida enrollments
  • Medicare enrollment name: Eastpointe Radiologists, P.C.
  • Also billed through NPI 1881642056 (Florida)
  • 35 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 40

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
671 services606 patients
Low dose ct scan of chest for lung cancer screening 71271
A low-dose CT scan of the chest is a quick, painless procedure that uses a small amount of radiation to create detailed images of your lungs. It's a key tool for early detection of lung cancer, especially for those at high risk.
251 services251 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
244 services239 patients
Mri scan of pelvis before and after contrast 72197
An MRI scan of the pelvis before and after contrast is a non-invasive imaging technique. It uses magnetic fields and radio waves to capture detailed images of your lower abdomen. Contrast dye, safe for the body, improves image clarity. This helps detect abnormalities more accurately.
201 services201 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
200 services194 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
134 services133 patients

Hospital Affiliations CMS Care Compare 5

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
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
$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.

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.

84.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.28
Improvement Activities40
Cost67.44

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.

Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Physician Assistant
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
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 Gregory Mlacker's NPI number?

The NPI number for Gregory Mlacker is 1205219904. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Gregory Mlacker located?

Gregory Mlacker practices at 3264 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-7272.

What is Gregory Mlacker's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Gregory Mlacker enrolled in Medicare?

Yes. Gregory Mlacker 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 Gregory Mlacker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Mlacker reassigns Medicare benefits to 3 organizations: Advanced Radiology Services PC (Grand Rapids, MI), Vhs Physicians Of Michigan (Southfield, MI) and Eastpointe Radiologists, PC (Grosse Pointe Woods, 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 Gregory Mlacker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Mlacker accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Gregory Mlacker 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 Gregory Mlacker affiliated with any hospitals?

According to CMS data, Gregory Mlacker is affiliated with Lakeland Hospital, St Joseph, Spectrum Health, Ascension St John Hospital, Ascension Macomb Oakland Hosp-Warren Campus and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for Gregory Mlacker was last updated on July 15, 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.