Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LORRIE JEAN OLDHAM DO
NPI 1295789790
Internal Medicine - Critical Care Medicine in Grand Rapids, MI

Active since May 19, 2006PECOS EnrolledAccepts Medicare Assignment
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503(616) 752-6090 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2026, Mar 12, 2026, Mar 16, 2025 (3 updates tracked since 2025).

About Lorrie Jean Oldham Do NPPES

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

LORRIE JEAN OLDHAM DO (NPI 1295789790) is an individual critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101013310) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1295789790
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameLORRIE JEAN OLDHAMCredential: DO
Location Address200 JEFFERSON AVE SEGrand Rapids, MI 49503-4502
Mailing Address245 State St Se, Ste 1aGrand Rapids, MI 49503-4328 · (616) 913-1808
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1992
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 24, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1295789790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in MI · 5101013310✔ Licensed in NC · 2021-03292✔ Licensed in GU · DOC-053
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 2021-03292 (NC), 5101013310 (MI)
200 JEFFERSON AVE SE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 11638 Owen DrFayetteville, NC 28304-3424 · Phone (910) 615-4000

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

Lorrie Jean Oldham 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 ID2567473846
PECOS Enrollment IDI20220401000222
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

7

Medicare enrollment records show Lorrie Oldham reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
4000 JOHNSON RD
Steubenville, OH 43952
  • Reassigned Medicare billing, Ohio enrollment
  • 23 clinicians in this Medicare group
Cardiovascular Disease
1 SAINT FRANCIS DR
Greenville, SC 29601
  • Reassigned Medicare billing, South Carolina enrollment
  • 389 clinicians in this Medicare group
Internal Medicine
518 E H ST
Erwin, NC 28339
  • Reassigned Medicare billing, North Carolina enrollment
  • 906 clinicians in this Medicare group
Rural Health
1000 PINE STREET WEST
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 212 clinicians in this Medicare group
General Acute Care Hospital
489 STATE ST
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 788 clinicians in this Medicare group
General Acute Care Hospital
#4007 ESTATE DIAMOND RUBY
Christiansted, St. Croix, VI 00821
  • Reassigned Medicare billing, U.S. Virgin Islands enrollment
  • 331 clinicians in this Medicare group
Clinic/Center
133 ROUTE 3
Dededo, GU 96929
  • Reassigned Medicare billing, Guam enrollment
  • 432 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 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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
82 services68 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
12 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%93 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503

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 Lorrie Oldham's NPI number?

The NPI number for Lorrie Oldham is 1295789790. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Lorrie Oldham located?

Lorrie Oldham practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (616) 752-6090.

What is Lorrie Oldham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Lorrie Oldham enrolled in Medicare?

Yes. Lorrie Oldham 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 Lorrie Oldham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lorrie Oldham reassigns Medicare benefits to 7 organizations: Hospitalist Medicine Physicians Of Ohio - Fairfield Professional Cor (Steubenville, OH), Bon Secours Medical Group Greenville Specialty Care LLC (Greenville, SC), Cumberland County Hospital System Inc (Erwin, NC), Beaufort County Memorial Hospital (Varnville, SC), Eastern Maine Medical Center (Bangor, ME) and 2 more organizations, listed in the Medicare section above. 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 Lorrie Oldham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lorrie Oldham accept?

Health plans from Cigna Healthcare, First Choice Next and Molina Healthcare list Lorrie Oldham 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 Lorrie Oldham affiliated with any hospitals?

According to CMS data, Lorrie Oldham is affiliated with Cape Fear Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Lorrie Oldham was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.