ELIZABETH ELAINE BUSHONG
NPI 1215630454
Plastic Surgery in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Plastic Surgery with taxonomy code 208200000X.

Active since March 27, 2023PECOS Enrolled

275 MICHIGAN ST NE FL 9, GRAND RAPIDS, MI 49503(616) 391-6243 Get Directions Write a Review

NPPES record last updated: March 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2025, Jun 25, 2024, Apr 8, 2024 and 1 more (4 updates tracked since 2023).

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About Elizabeth Elaine Bushong NPPES

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

ELIZABETH ELAINE BUSHONG (NPI 1215630454) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4351052917) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215630454

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameELIZABETH ELAINE BUSHONG

Location Address275 MICHIGAN ST NE FL 9Grand Rapids, MI 49503-2531

Mailing Address275 Michigan St Ne Fl 9Grand Rapids, MI 49503-2531 · (616) 391-6243

Phone(616) 391-6243

Sole ProprietorYes

Enumeration DateMarch 27, 2023

Last NPPES UpdateMarch 8, 20254 updates tracked since enumeration

NPPES CertifiedMarch 8, 2025

✔ NPI 1215630454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · 4351052917

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

275 MICHIGAN ST NE FL 9, Grand Rapids, MI 49503

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabeth Elaine Bushong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.