BRETT APPLEBACH PA-C
NPI 1225428147
Physician Assistant in Grand Rapids, MI

Active since January 30, 2015PECOS EnrolledAccepts Medicare Assignment
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503(616) 685-8400 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brett Applebach Pa-c NPPES

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

BRETT APPLEBACH PA-C (NPI 1225428147) is an individual physician assistant in Grand Rapids, Michigan and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1225428147
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRETT APPLEBACHCredential: PA-C
Location Address730 GRANDVILLE AVE SWGrand Rapids, MI 49503-4920
Mailing Address730 Grandville Ave SwGrand Rapids, MI 49503-4920 · (616) 685-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 30, 2015
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1225428147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
730 GRANDVILLE AVE SW, Grand Rapids, MI 49503

Accepted 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

Brett Applebach Pa-c 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 ID8527388529
PECOS Enrollment IDI20150514001317
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 2

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.
34 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services14 patients

Hospital Affiliations CMS Care Compare

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Clinic/Center (Federally Qualified Health Center (FQHC))
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Dietitian, Registered
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503

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 Brett Applebach's NPI number?

The NPI number for Brett Applebach is 1225428147. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Brett Applebach located?

Brett Applebach practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 685-8400.

What is Brett Applebach's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brett Applebach enrolled in Medicare?

Yes. Brett Applebach 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 Brett Applebach accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Brett Applebach 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 Brett Applebach affiliated with any hospitals?

According to CMS data, Brett Applebach is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Brett Applebach was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.