THOMAS CARBERRY M.D.
NPI 1487043907
Pediatrics - Pediatric Cardiology in Grand Rapids, MI
About Thomas Carberry M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THOMAS CARBERRY M.D. (NPI 1487043907) is an individual pediatric cardiology provider in Grand Rapids, Michigan, licensed in Michigan (4301506609) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Thomas Carberry M.d. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Thomas Carberry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 405 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 249 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.
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.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Thomas Carberry's NPI number?
The NPI number for Thomas Carberry is 1487043907. It was assigned to this individual provider in the NPPES registry on January 21, 2015.
Where is Thomas Carberry located?
Thomas Carberry practices at 25 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-9150.
What is Thomas Carberry's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Thomas Carberry enrolled in Medicare?
Yes. Thomas Carberry 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 Thomas Carberry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Carberry reassigns Medicare benefits to 3 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health Hospitals (Grand Rapids, MI) and Lakeland Hospitals At Niles And St Joseph, Inc (Saint Joseph, MI). 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 Thomas Carberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thomas Carberry 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 Thomas Carberry 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 Thomas Carberry was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Thomas Carberry, M.D. · NPI 1487043907
Pediatric Cardiology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 21, 2015.
## Identity
- **NPI:** 1487043907 (Entity type: Individual)
- **Enumerated:** January 21, 2015
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 4301506609 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25 MICHIGAN ST NE, Grand Rapids, MI 49503-2515
- **Phone:** (616) 267-9150 · **Fax:** (616) 267-1408
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1326599671, Grand Rapids, MI); Spectrum Health Hospitals (NPI 1558407189, Grand Rapids, MI); Lakeland Hospitals At Niles And St Joseph, Inc (NPI 1134220031, Saint Joseph, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487043907) · Data from the CMS NPPES public registry.