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

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
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: July 26, 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 and is a graduate of Columbia University College Of Physicians And Surgeons (1995).

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
Fax(616) 451-9077
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1995
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

Other Identifiers 3

Medicare ID-Type Unspecified16082011MI
Medicaid4403942MI
Medicare UPINH46302MI

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

Mr. John David Renucci 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.

PECOS PAC ID2567481328
PECOS Enrollment IDI20051122000305
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.

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.

Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, SUITE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, STE 700
GRAND RAPIDS, MI 49503
Plastic Surgery
220 LYON ST NW, SUITE 700
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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Renucci accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 with the weekly NPPES data releases published by CMS.