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MR. JOHN DAVID RENUCCI M.D.
NPI 1487659827
Plastic Surgery in Grand Rapids, MI

Active since June 14, 2005PECOS Enrolled
220 LYON ST NW, STE 700, GRAND RAPIDS, MI 49503(616) 451-4500(616) 451-9077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. John David Renucci M.d. NPPES

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

MR. JOHN DAVID RENUCCI M.D. (NPI 1487659827) is an individual plastic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301079486) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487659827
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. JOHN DAVID RENUCCICredential: M.D.
Location Address220 LYON ST NW, STE 700Grand Rapids, MI 49503-2210
Mailing Address220 Lyon St Nw, Ste 700Grand Rapids, MI 49503-2210 · (616) 451-4500 · Fax (616) 451-9077
Phone(616) 451-4500
Fax(616) 451-9077
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487659827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in MI · 4301079486
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
220 LYON ST NW, Grand Rapids, MI 49503
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Other Identifiers 3

Medicare ID-Type Unspecified16082011MI
Medicaid4403942MI
Medicare UPINH46302MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. John David Renucci M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show John Renucci reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic Surgery Associates PC
Same address
Plastic Surgery
220 LYON ST NW, SUITE 700
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1093899767 (616) 451-4500
Spectrum Health Hospitals
0.5 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377

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
$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 9

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

MR. STEVEN LOREN RINGLER M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
PLASTIC SURGERY ASSOCIATES PC
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
DR. DAVID R ALFONSO M.D.
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. DOUGLAS LEE VANDER WOUDE MD
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. WILLIAM DAVID MOORE M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. BRADLEY PAUL BENGTSON M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
PLASTIC SURGERY ASSOCIATES PC
Clinic/Center (Ambulatory Surgical)
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500
MR. DAVID ARTHUR VANDERWALL M.D.
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Kent County (616) 451-4500

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 John Renucci's NPI number?

The NPI number for John Renucci is 1487659827. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is John Renucci located?

John Renucci practices at 220 Lyon St NW Ste 700, Grand Rapids, MI 49503. The listed phone number is (616) 451-4500.

What is John Renucci's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is John Renucci enrolled in Medicare?

Yes. John Renucci is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Renucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Renucci reassigns Medicare benefits to 2 organizations: Plastic Surgery Associates PC (Grand Rapids, MI) and Spectrum Health Hospitals (Grand Rapids, 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 John Renucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Renucci accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list John Renucci 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 John Renucci was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.