KRISTOPHER R DANIELSON D.O.
NPI 1376957134
Orthopaedic Surgery in Grand Rapids, MI

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2020, Jul 1, 2019 (2 updates tracked since 2019).

About Kristopher R Danielson D.o. NPPES

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

KRISTOPHER R DANIELSON D.O. (NPI 1376957134) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (5101025380) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1376957134
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameKRISTOPHER R DANIELSONCredential: D.O.
Location Address1111 LEFFINGWELL AVE NEGrand Rapids, MI 49525-6406
Mailing Address1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406 · (616) 459-7101 · Fax (616) 464-6170
Fax(616) 464-6170
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2014
Enumeration DateJune 19, 2014
Last NPPES UpdateJune 11, 20202 updates tracked since enumeration
NPPES CertifiedJune 11, 2020
NPI 1376957134 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 · 5101025380 Licensed in AZ · 007833
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.
1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525

Accepted 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

Kristopher R Danielson D.o. 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 ID2860617198
PECOS Enrollment IDI20200422001522
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 12

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.

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.
102 services53 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
78 services11 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.
75 services57 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.
40 services34 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
31 services12 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.
25 services15 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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

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.

Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525
Orthopaedic Surgery (Hand Surgery)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Occupational Therapist
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Physician Assistant (Surgical)
1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525

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 Kristopher Danielson's NPI number?

The NPI number for Kristopher Danielson is 1376957134. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Kristopher Danielson located?

Kristopher Danielson practices at 1111 Leffingwell Ave NE, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Kristopher Danielson's specialty?

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

Is Kristopher Danielson enrolled in Medicare?

Yes. Kristopher Danielson 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 Kristopher Danielson accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kristopher Danielson 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 Kristopher Danielson affiliated with any hospitals?

According to CMS data, Kristopher Danielson is affiliated with Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Kristopher Danielson was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.