DR. DAVID J HEERINGA D.O.
NPI 1245353853
Orthopaedic Surgery in Caledonia, MI
About Dr. David J Heeringa D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID J HEERINGA D.O. (NPI 1245353853) is an individual orthopaedic surgery provider in Caledonia, Michigan, licensed in Michigan (5101016904) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains a secondary practice location in Hastings.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. David J Heeringa D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show David Heeringa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Caledonia, MI 49316
- Reassigned Medicare billing, Michigan enrollment
- 3 clinicians in this Medicare group
Wyoming, MI 49548
- Reassigned Medicare billing, Michigan enrollment
- 685 clinicians in this Medicare group
Grand Rapids, MI 49525
- Reassigned Medicare billing, Michigan enrollment
- 85 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 13
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Michigan Health - West
Acute Care Hospitals · Wyoming, MISheridan Community Hospital
Critical Access Hospitals · Sheridan, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CALEDONIA, MI 49316
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 David Heeringa's NPI number?
The NPI number for David Heeringa is 1245353853. It was assigned to this individual provider in the NPPES registry on April 9, 2007.
Where is David Heeringa located?
David Heeringa practices at 7169 Kalamazoo Ave SE Ste 100, Caledonia, MI 49316. The listed phone number is (616) 266-9100.
What is David Heeringa's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is David Heeringa enrolled in Medicare?
Yes. David Heeringa 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 David Heeringa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Heeringa reassigns Medicare benefits to 3 organizations: Thornapple River Orthopedics PC (Caledonia, MI), Metropolitan Hospital (Wyoming, MI) and Sheridan Community Hospital (Grand Rapids, 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 David Heeringa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Heeringa 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 3 other insurers list David Heeringa 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 David Heeringa affiliated with any hospitals?
According to CMS data, David Heeringa is affiliated with University Of Michigan Health - West and Sheridan Community Hospital.
When was this NPI record last updated?
The NPPES record for David Heeringa was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.