JON ALEXANDER SANFORD DO
NPI 1215670583
Radiology - Diagnostic Radiology in Grand Rapids, MI

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

Active since April 15, 2022PECOS Enrolled

100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-3570(616) 391-3130 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 27, 2026, Apr 15, 2022 (2 updates tracked since 2022).

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About Jon Alexander Sanford Do NPPES

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

JON ALEXANDER SANFORD DO (NPI 1215670583) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (5151015836) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215670583

Entity TypeIndividualMale

Primary Taxonomy2085R0202X

Provider Legal NameJON ALEXANDER SANFORDCredential: DO

Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560 · (616) 391-3570 · Fax (616) 391-3130

Phone(616) 391-3570

Fax(616) 391-3130

Sole ProprietorNo

Enumeration DateApril 15, 2022

Last NPPES UpdateMay 27, 20262 updates tracked since enumeration

NPPES CertifiedMay 27, 2026

✔ NPI 1215670583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in MI · 5151015836

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

100 MICHIGAN ST NE STE A601, 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)

Jon Alexander Sanford Do 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.