DR. BRYAN JON PACK MD
NPI 1295944239
Orthopaedic Surgery in Grand Rapids, MI

Q: What is Bryan Pack's NPI number?

The NPI number for Bryan Pack is 1295944239. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Q: What is Bryan Pack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Bryan Pack was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment

350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 49503(616) 459-9404 Get Directions Write a Review

NPPES record last updated: March 21, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Bryan Jon Pack Md NPPES

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

DR. BRYAN JON PACK MD (NPI 1295944239) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301086174) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Wayne State University School Of Medicine (2005).

NPPES Registry Identity

NPI1295944239

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. BRYAN JON PACKCredential: MD

Location Address350 LAFAYETTE AVE SE, 4TH FLOORGrand Rapids, MI 49503-4656

Mailing Address3565 Momentum PlChicago, IL 60689-5335 · (616) 459-9404

Phone(616) 459-9404

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2005

Enumeration DateMay 22, 2007

Last NPPES UpdateMarch 21, 2014

✔ NPI 1295944239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MI · 4301086174✔ Licensed in IL · 036-125552

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

350 LAFAYETTE AVE SE, Grand Rapids, MI 49503

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Other Identifiers 2

Medicare PINM51600017MI

Medicaid1295944239MI

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. Bryan Jon Pack Md 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 ID8527255991

PECOS Enrollment IDI20110817000177

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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

456 services62 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

150 services138 patients

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.

141 services121 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

122 services95 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.

117 services117 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

85 services62 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

52 services38 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.

38 services37 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

25 services18 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

24 services24 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

24 services24 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

21 services19 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

17 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230002

Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County

Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland 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

$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

$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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

4 suppliers22 claims22 services$45.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DALENE ROOKS DEGRAAF LP

Psychologist (Clinical)

350 LAFAYETTE AVE SE, SUITE 500
GRAND RAPIDS, MI 49503

Kent County (616) 233-3480

RIVER VALLEY ORTHOPEDICS, P.C.

Podiatrist

350 LAFAYETTE AVE SE, 4TH FLOOR
GRAND RAPIDS, MI 49503

Kent County (616) 456-8515

CHRISTOPHER MARSHALL BAJEMA P.T.

Physical Therapist (Orthopedic)

350 LAFAYETTE AVE SE, SUITE 500
GRAND RAPIDS, MI 49503

Kent County (616) 456-8515

LAURA MIERSEN P.T.

Physical Therapist

350 LAFAYETTE AVE SE, SUITE 500
GRAND RAPIDS, MI 49503

Kent County (616) 456-8515

JUDITH ANN MORRIS O.T.

Occupational Therapist

350 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 456-4853

CLARENCE J VERBRUGGE PT

Physical Therapist

350 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 235-3984

MARY FREE BED HOSPITAL AND REHABILIATION CENTER

Occupational Therapist

350 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503

Kent County (616) 235-3984

DR. MICHAEL S JAKUBOWSKI M.D.

Physical Medicine & Rehabilitation

350 LAFAYETTE AVE SE, SUITE 301
GRAND RAPIDS, MI 49503

Kent County (616) 459-0801

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 Bryan Pack's NPI number?

The NPI number for Bryan Pack is 1295944239. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Bryan Pack located?

Bryan Pack practices at 350 Lafayette Ave SE 4th Floor, Grand Rapids, MI 49503. The listed phone number is (616) 459-9404.

What is Bryan Pack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Bryan Pack enrolled in Medicare?

Yes. Bryan Pack 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 Bryan Pack 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 1 other insurer list Bryan Pack 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 Bryan Pack affiliated with any hospitals?

According to CMS data, Bryan Pack is affiliated with St Joe Mercy Hospital System Livonia, Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Pack was last updated on March 21, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.