DR. JONATHAN EDWARD BEAULAC D.O.
NPI 1508132283
Internal Medicine in Traverse City, MI

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
5041 N ROYAL DR, TRAVERSE CITY, MI 49684(231) 935-0600(231) 935-0613 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 12, 2024, Apr 23, 2024, Aug 23, 2023 and 3 more (6 updates tracked since 2017).

About Dr. Jonathan Edward Beaulac D.o. NPPES

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

DR. JONATHAN EDWARD BEAULAC D.O. (NPI 1508132283) is an individual internal medicine provider in Traverse City, Michigan, licensed in Michigan (5101019890) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1508132283
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN EDWARD BEAULACCredential: D.O.
Location Address5041 N ROYAL DRTraverse City, MI 49684-6986
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-0600
Fax(231) 935-0613
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateMarch 28, 2012
Last NPPES UpdateApril 25, 20256 updates tracked since enumeration
NPPES CertifiedApril 25, 2025
NPI 1508132283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5101019890
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.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 5101019890 (MI)
5041 N ROYAL DR, Traverse City, MI 49684

Secondary Practice Locations 6

Location 115855 Nineteen Mile Rd., Henry Ford Macomb HospitalClinton Township, MI 48038 · Phone (586) 757-9707
Location 2550 Munson AveTraverse City, MI 49686-3580 · Phone (231) 935-6520
Location 31000 Pavilions CirTraverse City, MI 49684-3198 · Phone (231) 932-3000
Location 45085 Anna Dr Ste B&cTraverse City, MI 49684-7475 · Phone (231) 935-5900
Location 51105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000
Location 61221 Sixth St Ste 206Traverse City, MI 49684-2359 · Phone (231) 935-5090

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

Dr. Jonathan Edward Beaulac 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 ID6901039973
PECOS Enrollment IDI20160722001225
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
101 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Hematology & Oncology)
5041 N ROYAL DR, SUITE 2
TRAVERSE CITY, MI 49684
Internal Medicine (Medical Oncology)
5041 N ROYAL DR, SUITE 1
TRAVERSE CITY, MI 49684
Internal Medicine
5041 N ROYAL DR
TRAVERSE CITY, MI 49684
Internal Medicine
5041 N ROYAL DR
TRAVERSE CITY, MI 49684
Internal Medicine
5041 N ROYAL DR
TRAVERSE CITY, MI 49684
Internal Medicine
5041 N ROYAL DR
TRAVERSE CITY, MI 49684
Internal Medicine (Geriatric Medicine)
5041 N ROYAL DR
TRAVERSE CITY, MI 49684

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 Jonathan Beaulac's NPI number?

The NPI number for Jonathan Beaulac is 1508132283. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Jonathan Beaulac located?

Jonathan Beaulac practices at 5041 N Royal Dr, Traverse City, MI 49684. The listed phone number is (231) 935-0600.

What is Jonathan Beaulac's specialty?

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

Is Jonathan Beaulac enrolled in Medicare?

Yes. Jonathan Beaulac 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 Jonathan Beaulac 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 Jonathan Beaulac 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.

Is Jonathan Beaulac affiliated with any hospitals?

According to CMS data, Jonathan Beaulac is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Beaulac was last updated on April 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.