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JAMES R LEBOLT DO
NPI 1245331941
Orthopaedic Surgery - Sports Medicine in Grand Rapids, MI

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2770 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525(616) 267-8860(616) 267-8442 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 5, 2024, Feb 22, 2021, Mar 24, 2016 (3 updates tracked since 2016).

About James R Lebolt Do NPPES

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

JAMES R LEBOLT DO (NPI 1245331941) is an individual sports medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101015061) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of West Virginia School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1245331941
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAMES R LEBOLTCredential: DO
Location Address2770 E BELTLINE AVE NEGrand Rapids, MI 49525-8614
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 267-8860
Fax(616) 267-8442
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2001
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1245331941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License✔ Licensed in MI · 5101015061
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
2770 E BELTLINE AVE NE, Grand Rapids, MI 49525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James R Lebolt Do 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 ID6507865565
PECOS Enrollment IDI20110718000759
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 Reassignment

Medicare enrollment records show James Lebolt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Health Primary Care Partners
1.9 mi
Nurse Practitioner
3271 CLEAR VISTA CT NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1346480258 (616) 391-7800

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.

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.
28 services23 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
18 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

VANESSA RAE SMITKO NP-C
Nurse Practitioner (Family)
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
JOHN MAHAJAN MD
Orthopaedic Surgery
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
BRIAN P BURNS PAC
Physician Assistant (Surgical)
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
JOHN F HARRIS DPM, FACFAS
Podiatrist
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
DR. JACOB H REISNER D.O.
Physical Medicine & Rehabilitation (Sports Medicine)
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
DANIEL EDWARD HESS M.D.
Orthopaedic Surgery
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
JACOB ALLEN LYTLE DO
Orthopaedic Surgery
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860
YASHKUMAR ANILKUMAR BHALALA
Podiatrist (Foot & Ankle Surgery)
2770 E BELTLINE AVE NE
GRAND RAPIDS, MI 49525
Kent County (616) 267-8860

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 James Lebolt's NPI number?

The NPI number for James Lebolt is 1245331941. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is James Lebolt located?

James Lebolt practices at 2770 E Beltline Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 267-8860.

What is James Lebolt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is James Lebolt enrolled in Medicare?

Yes. James Lebolt 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 organization bills Medicare for James Lebolt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Lebolt reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 James Lebolt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Lebolt accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list James Lebolt 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 James Lebolt affiliated with any hospitals?

According to CMS data, James Lebolt is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for James Lebolt was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.