ERIC WILLMARTH PHD
NPI 1275638041
Psychologist - Clinical in Grand Rapids, MI

Q: What is Eric Willmarth's NPI number?

The NPI number for Eric Willmarth is 1275638041. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Eric Willmarth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Eric Willmarth was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment

4100 LAKE DR SE, STE 305, GRAND RAPIDS, MI 49546(616) 285-1377(616) 285-1006 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eric Willmarth Phd NPPES

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

ERIC WILLMARTH PHD (NPI 1275638041) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301002796) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1999).

NPPES Registry Identity

NPI1275638041

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameERIC WILLMARTHCredential: PHD

Location Address4100 LAKE DR SE, STE 305Grand Rapids, MI 49546

Mailing Address61 Commerce Ave SwGrand Rapids, MI 49503-4124 · (616) 940-0660 · Fax (616) 940-1965

Phone(616) 285-1377

Fax(616) 285-1006

Sole ProprietorNo

Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1999

Enumeration DateSeptember 14, 2006

Last NPPES UpdateNovember 19, 2008

✔ NPI 1275638041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301002796

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4100 LAKE DR SE, Grand Rapids, MI 49546

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Other Identifiers 4

Other680D146790MI · Blue Cross Blue Shield

Other0998829MI · Health Plan Of Mi

Other041493Value Options

Medicare PINM90290003MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Eric Willmarth Phd 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 ID6204875834

PECOS Enrollment IDI20100312000376

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.

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

93 services93 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

92 services92 patients

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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

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 20

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

TELLA KATARINA MINKKINEN PT

Physical Therapist

4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546

Kent County (616) 285-1377

RANDALL SCOTT MEISNER MD

Internal Medicine (Gastroenterology)

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 267-7414

DR. MARYKAY LEHMAN M.D.

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 949-8244

GUSTAVO CUMBO-NACHELI

Internal Medicine (Pulmonary Disease)

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8244

JANET DOMINOWSKI RD

Dietitian, Registered

4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546

Kent County (616) 267-8950

WALTER M BRAUNOHLER M.D.

Orthopaedic Surgery

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8860

JILL C THORPE PA-C

Physician Assistant

4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546

Kent County (616) 774-2414

PATRICIA BEGGS AT, ATC

Specialist/Technologist (Athletic Trainer)

4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

Kent County (616) 267-8565

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 Eric Willmarth's NPI number?

The NPI number for Eric Willmarth is 1275638041. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Eric Willmarth located?

Eric Willmarth practices at 4100 Lake Dr SE Ste 305, Grand Rapids, MI 49546. The listed phone number is (616) 285-1377.

What is Eric Willmarth's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Eric Willmarth enrolled in Medicare?

Yes. Eric Willmarth 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 Eric Willmarth accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Eric Willmarth 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.

When was this NPI record last updated?

The NPPES record for Eric Willmarth was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.