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DR. DARRYL J ELZINGA M.D.
NPI 1275524951
Otolaryngology in Grand Rapids, MI

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
4880 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 954-9300(616) 954-9543 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darryl J Elzinga M.d. NPPES

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

DR. DARRYL J ELZINGA M.D. (NPI 1275524951) is an individual otolaryngology provider in Grand Rapids, Michigan, licensed in Michigan (4301051146) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Michigan Medical School (1987).

NPPES Registry Identity

NPI1275524951
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. DARRYL J ELZINGACredential: M.D.
Location Address4880 CASCADE RD SEGrand Rapids, MI 49546-3721
Mailing Address4880 Cascade Rd SeGrand Rapids, MI 49546-3721 · (616) 954-9300 · Fax (616) 954-9543
Phone(616) 954-9300
Fax(616) 954-9543
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1987
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1275524951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MI · 4301051146
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4880 CASCADE RD SE, Grand Rapids, MI 49546
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Other Identifiers 2

Medicaid2845121MI
Medicare UPINF29962MI

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Darryl J Elzinga M.d. 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 ID648203281
PECOS Enrollment IDI20050927000503
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
123 services89 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
56 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
51 services46 patients
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 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
26 services26 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
24 services19 patients

Hospital Affiliations CMS Care Compare 2

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

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 49546 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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 4

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

MRS. TINA M HOWARD-PALMER AUDIOLOGIST CCC-A
Audiologist-Hearing Aid Fitter
4880 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 954-9300
DR. JAMES CHRISTOPHER PAPP DMD
Dentist (Periodontics)
4880 CASCADE RD SE, SUITE B
GRAND RAPIDS, MI 49546
Kent County (616) 940-2854
DR. ROBERT L DANIELS M.D.
Otolaryngology (Otology & Neurotology)
4880 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 954-9300
ENT CONSULTANTS PLC
Otolaryngology (Otology & Neurotology)
4880 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 954-9300

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 Darryl Elzinga's NPI number?

The NPI number for Darryl Elzinga is 1275524951. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Darryl Elzinga located?

Darryl Elzinga practices at 4880 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 954-9300.

What is Darryl Elzinga's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Darryl Elzinga enrolled in Medicare?

Yes. Darryl Elzinga 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 Darryl Elzinga 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 2 other insurers list Darryl Elzinga 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 Darryl Elzinga affiliated with any hospitals?

According to CMS data, Darryl Elzinga is affiliated with Spectrum Health and Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Darryl Elzinga was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.