STEPHEN FITCH MD
NPI 1538109574
Internal Medicine - Critical Care Medicine in Grand Rapids, MI

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4100 LAKE DR SE, S-200, GRAND RAPIDS, MI 49546(616) 949-8244 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephen Fitch Md NPPES

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

STEPHEN FITCH MD (NPI 1538109574) is an individual critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301065587) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Michigan State University College Of Human Medicine (1995).

NPPES Registry Identity

NPI1538109574
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameSTEPHEN FITCHCredential: MD
Location Address4100 LAKE DR SE, S-200Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1995
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 20, 2024
NPPES CertifiedMay 20, 2024
NPI 1538109574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in MI · 4301065587
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 4301065587 (MI)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 4301065587 (MI)
4100 LAKE DR SE, Grand Rapids, MI 49546

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

Stephen Fitch Md 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 ID749259646
PECOS Enrollment IDI20040928000546
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.

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.
64 services43 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.
42 services21 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
29 services21 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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers25 claims25 services$28.89 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers16 claims16 services$69.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers15 claims36 services$29.77 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers22 claims22 services$38.93 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers16 claims16 services$15.84 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
10 suppliers33 claims198 services$1.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physical Therapist
4100 LAKE DR SE, SUITE 305
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Internal Medicine (Pulmonary Disease)
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Dietitian, Registered
4100 LAKE DR SE, SUITE 200
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE, SUITE 205
GRAND RAPIDS, MI 49546
Specialist/Technologist (Athletic Trainer)
4100 LAKE DR SE, SUITE 300
GRAND RAPIDS, MI 49546

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 Stephen Fitch's NPI number?

The NPI number for Stephen Fitch is 1538109574. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Stephen Fitch located?

Stephen Fitch practices at 4100 Lake Dr SE S-200, Grand Rapids, MI 49546. The listed phone number is (616) 949-8244.

What is Stephen Fitch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Stephen Fitch enrolled in Medicare?

Yes. Stephen Fitch 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 Stephen Fitch 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 2 other insurers list Stephen Fitch 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 Stephen Fitch affiliated with any hospitals?

According to CMS data, Stephen Fitch is affiliated with Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Stephen Fitch was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.