JAKE GRAEHM HALVORSEN D.O.
NPI 1497015002
Internal Medicine in Warren, MI

Active since May 17, 2012PECOS EnrolledAccepts Medicare Assignment
11885 E 12 MILE RD, STE. 300A, WARREN, MI 48093(586) 582-6630(586) 582-6631 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jake Graehm Halvorsen D.o. NPPES

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

JAKE GRAEHM HALVORSEN D.O. (NPI 1497015002) is an individual internal medicine provider in Warren, Michigan, licensed in Michigan (5101019943) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS and is a graduate of Rocky Vista University College Of Osteopathic Med (2012).

NPPES Registry Identity

NPI1497015002
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJAKE GRAEHM HALVORSENCredential: D.O.
Location Address11885 E 12 MILE RD, STE. 300AWarren, MI 48093-3474
Mailing Address11885 E 12 Mile Rd, Ste. 300aWarren, MI 48093-3474 · (586) 582-6630 · Fax (586) 582-6631
Fax(586) 582-6631
Sole ProprietorYes
Medical School CMSRocky Vista University College Of Osteopathic MedGraduated 2012
Enumeration DateMay 17, 2012
NPI 1497015002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5101019943
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11885 E 12 MILE RD, Warren, MI 48093

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

Jake Graehm Halvorsen D.o. 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 ID9436456969
PECOS Enrollment IDI20170505000190
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
55 services54 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
39 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
35 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine (Hematology & Oncology)
11885 E 12 MILE RD, SUITE 100A
WARREN, MI 48093
Clinic/Center (Adult Mental Health)
11885 E 12 MILE RD, STE. 201A
WARREN, MI 48093
Obstetrics & Gynecology
11885 E 12 MILE RD, 200A
WARREN, MI 48093
Internal Medicine
11885 E 12 MILE RD, STE. 300A
WARREN, MI 48093
Dentist
11885 E 12 MILE RD, STE 303B
WARREN, MI 48093
Internal Medicine
11885 E 12 MILE RD, STE. 300A
WARREN, MI 48093
Obstetrics & Gynecology
11885 E 12 MILE RD, SUITE 202A
WARREN, MI 48093
Psychiatry & Neurology (Psychiatry)
11885 E 12 MILE RD, SUITE 201A
WARREN, MI 48093

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 Jake Halvorsen's NPI number?

The NPI number for Jake Halvorsen is 1497015002. It was assigned to this individual provider in the NPPES registry on May 17, 2012.

Where is Jake Halvorsen located?

Jake Halvorsen practices at 11885 E 12 Mile Rd Ste. 300A, Warren, MI 48093. The listed phone number is (586) 582-6630.

What is Jake Halvorsen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jake Halvorsen enrolled in Medicare?

Yes. Jake Halvorsen 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 Jake Halvorsen accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Jake Halvorsen 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 Jake Halvorsen was last updated on May 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.