JOSEPH ANTHONY PETRONIO MD
NPI 1427138429
Neurological Surgery in Grand Rapids, MI

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503(616) 267-2570 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 6, 2022, May 17, 2022 (2 updates tracked since 2022).

About Joseph Anthony Petronio Md NPPES

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

JOSEPH ANTHONY PETRONIO MD (NPI 1427138429) is an individual neurological surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301506087) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kalamazoo, and is a graduate of Northwestern University Feinberg Medical School (1984).

NPPES Registry Identity

NPI1427138429
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameJOSEPH ANTHONY PETRONIOCredential: MD
Location Address35 MICHIGAN ST NE STE 3003Grand Rapids, MI 49503-2528
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1984
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1427138429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 4301506087
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
35 MICHIGAN ST NE STE 3003, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1601 John St Ste M-124Kalamazoo, MI 49007-5377 · Phone (269) 341-7500

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

Joseph Anthony Petronio 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 ID7517000730
PECOS Enrollment IDI20220325001880
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 Reassignment

Medicare enrollment records show Joseph Petronio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 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.

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
$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.

Dietitian, Registered
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Pediatrics
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Pulmonology)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Occupational Therapist
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
35 MICHIGAN ST NE STE 3003
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 Joseph Petronio's NPI number?

The NPI number for Joseph Petronio is 1427138429. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Joseph Petronio located?

Joseph Petronio practices at 35 Michigan St NE Ste 3003, Grand Rapids, MI 49503. The listed phone number is (616) 267-2570.

What is Joseph Petronio's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Joseph Petronio enrolled in Medicare?

Yes. Joseph Petronio 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 organization bills Medicare for Joseph Petronio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Petronio reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Joseph Petronio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Petronio 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 2 other insurers list Joseph Petronio 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 Joseph Petronio was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.