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DR. ANDREW M. BEHLER D.O.,M.P.H.
NPI 1407066996
Otolaryngology - Facial Plastic Surgery in Grand Rapids, MI

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
1179 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 252-5760(616) 252-5765 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2017, Feb 17, 2017, Oct 27, 2016 (3 updates tracked since 2016).

About Dr. Andrew M. Behler D.o.,m.p.h. NPPES

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

DR. ANDREW M. BEHLER D.O.,M.P.H. (NPI 1407066996) is an individual facial plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (5101015651) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1407066996
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. ANDREW M. BEHLERCredential: D.O.,M.P.H.
Location Address1179 E PARIS AVE SEGrand Rapids, MI 49546-8371
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Phone(616) 252-5760
Fax(616) 252-5765
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 5, 20173 updates tracked since enumeration
✔ NPI 1407066996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in MI · 5101015651
Definition
An otolaryngologist who specializes in facial plastic surgery.
1179 E PARIS AVE SE, Grand Rapids, MI 49546
Open in Google Maps ↗

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. Andrew M. Behler D.o.,m.p.h. 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 ID6103985445
PECOS Enrollment IDI20081031000474
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 5

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.

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.
93 services71 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.
85 services85 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.
63 services55 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
47 services34 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
42 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta 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

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.25
Promoting Interoperability100
Improvement Activities40
Cost52.39

Other Providers at the Same Location NPPES 17

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

KATHRYN BULTMAN L.L.C.
Social Worker (Clinical)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 460-1857
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Psychiatry & Neurology (Psychiatry)
1179 E PARIS AVE SE, STE. 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. ROBERT CRAIG PAYNE D.D.S.
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE, SUITE 130
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840
GREAT LAKES PSYCHIATRIC SERVICES, P.C.
Clinic/Center (Adult Mental Health)
1179 E PARIS AVE SE, SUITE 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
ASSOCIATED RETINAL CONSULTANTS, PC
Ophthalmology
1179 E PARIS AVE SE, 250
GRAND RAPIDS, MI 49546
Kent County (616) 942-2406
MS. LOUISE ANN SOMMER LMSW
Social Worker (Clinical)
1179 E PARIS AVE SE, SUITE # 220
GRAND RAPIDS, MI 49546
Kent County (616) 454-2004
DR. JAMES ANTHONY SPOTO DO
Otolaryngology (Facial Plastic Surgery)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-5760
GRADY S RANDALL DDS
Dentist (Pediatric Dentistry)
1179 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (616) 942-9840

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 Andrew Behler's NPI number?

The NPI number for Andrew Behler is 1407066996. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Andrew Behler located?

Andrew Behler practices at 1179 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 252-5760.

What is Andrew Behler's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Andrew Behler enrolled in Medicare?

Yes. Andrew Behler 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 Andrew Behler 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 4 other insurers list Andrew Behler 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 Andrew Behler affiliated with any hospitals?

According to CMS data, Andrew Behler is affiliated with Spectrum Health United Hospital, Spectrum Health, Mercy Health Saint Mary's, Corewell Health Big Rapids Hospital and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Andrew Behler was last updated on December 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.