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DR. FREDRIC ALAN REYELTS MD
NPI 1285687467
Family Medicine in Grand Rapids, MI

Active since May 18, 2006PECOS Enrolled
801 BROADWAY AVE NW STE 105, GRAND RAPIDS, MI 49504(616) 685-7500(616) 785-7511 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2023, Dec 28, 2021 (2 updates tracked since 2021).

About Dr. Fredric Alan Reyelts Md NPPES

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

DR. FREDRIC ALAN REYELTS MD (NPI 1285687467) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301051511) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1285687467
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FREDRIC ALAN REYELTSCredential: MD
Location Address801 BROADWAY AVE NW STE 105Grand Rapids, MI 49504-4496
Mailing Address801 Broadway Ave Nw Ste 105Grand Rapids, MI 49504-4496 · (616) 685-7500 · Fax (616) 685-7511
Phone(616) 685-7500
Fax(616) 785-7511
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateJune 7, 20232 updates tracked since enumeration
NPPES CertifiedJune 7, 2023
✔ NPI 1285687467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301051511
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301051511 (MI)
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License 4301051511 (MI)
801 BROADWAY AVE NW STE 105, Grand Rapids, MI 49504
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Secondary Practice Location 1

Location 12100 Raybrook St SE Ste 203Grand Rapids, MI 49546-5783 · Phone (616) 954-1555 · Fax (616) 954-1520

Other Identifiers 7

Medicaid3415813MI
Medicaid4106189MI
Medicaid4593050MI
Medicaid4878865MI
Medicaid2995094MI
Medicaid4155657MI
Medicaid4593060MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Fredric Alan Reyelts Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

3

Medicare enrollment records show Fredric Reyelts reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantage Health/Saint Mary's Medical Group
1.5 mi
Multi-Specialty
245 STATE ST SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1376862151 (616) 685-8050
Reliance Community Care Partners
6.1 mi
Case Management
2100 RAYBROOK SE, SUITE 203
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
NPI 1417005257 (616) 956-9440
Mercy Physician Network
27 mi
Family Medicine
3443 FARR RD
Fruitport, MI 49415
  • Reassigned Medicare billing, Michigan enrollment
  • 130 clinicians in this Medicare group
NPI 1639502701 (231) 672-2900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49504 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
$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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers25 claims61 services$3.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fredric Reyelts's NPI number?

The NPI number for Fredric Reyelts is 1285687467. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Fredric Reyelts located?

Fredric Reyelts practices at 801 Broadway Ave NW Ste 105, Grand Rapids, MI 49504. The listed phone number is (616) 685-7500.

What is Fredric Reyelts's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fredric Reyelts enrolled in Medicare?

Yes. Fredric Reyelts is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fredric Reyelts's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fredric Reyelts reassigns Medicare benefits to 3 organizations: Advantage Health/Saint Mary's Medical Group (Grand Rapids, MI), Reliance Community Care Partners (Grand Rapids, MI) and Mercy Physician Network (Fruitport, 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 Fredric Reyelts's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fredric Reyelts accept?

Health plans from Priority Health list Fredric Reyelts 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 Fredric Reyelts was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.