DR. BRIAN J GERONDALE MD
NPI 1548250509
Dermatology in Grand Rapids, MI

Active since October 21, 2005PECOS EnrolledAccepts Medicare Assignment
96/100
CMS Quality Rating
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546(616) 949-5600(616) 949-6571 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 28, 2026, Apr 14, 2022, Jul 23, 2020 and 2 more (5 updates tracked since 2020).

About Dr. Brian J Gerondale Md NPPES

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

DR. BRIAN J GERONDALE MD (NPI 1548250509) is an individual dermatology provider in Grand Rapids, Michigan, licensed in Michigan (4301076576) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1989).

NPPES Registry Identity

NPI1548250509
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. BRIAN J GERONDALECredential: MD
Location Address1740 E PARIS AVE SEGrand Rapids, MI 49546-6204
Mailing Address1740 E Paris Ave SeGrand Rapids, MI 49546-6204 · (616) 949-5600 · Fax (616) 949-6571
Fax(616) 949-6571
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1989
Enumeration DateOctober 21, 2005
Last NPPES UpdateAugust 28, 20265 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1548250509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MI · 4301076576
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 4301076576 (MI)
1740 E PARIS AVE SE, Grand Rapids, MI 49546

Other Identifiers 2

OtherBG076576MI · State License
Other0704110141MI · Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian J Gerondale 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 ID4688671522
PECOS Enrollment IDI20061107000093
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 Reassignment

Medicare enrollment records show Brian Gerondale reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Same address
Dermatology
1740 E PARIS AVE SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 20

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
836 services182 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.
556 services449 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
318 services161 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
314 services248 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
162 services141 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
134 services123 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

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.

96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.82
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
91%2,597 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%613 patients
Melanoma: Coordination of Care
100%58 patients
Provide Patients Electronic Access to Their Health Information
98%2,695 patients4/55-star benchmark: 100%
Psoriasis: Clinical Response to Systemic Medications
100%60 patients
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 19

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

Nurse Practitioner
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Dermatology (MOHS-Micrographic Surgery)
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Nurse Practitioner
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Dermatology
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Dermatology (MOHS-Micrographic Surgery)
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Physician Assistant
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Physician Assistant
1740 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Physician Assistant
1740 E PARIS AVE SE
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 Brian Gerondale's NPI number?

The NPI number for Brian Gerondale is 1548250509. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Brian Gerondale located?

Brian Gerondale practices at 1740 E Paris Ave SE, Grand Rapids, MI 49546. The listed phone number is (616) 949-5600.

What is Brian Gerondale's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brian Gerondale enrolled in Medicare?

Yes. Brian Gerondale 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.

Which organization bills Medicare for Brian Gerondale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Gerondale reassigns Medicare benefits to Dawm, Plc (Grand Rapids, MI). The 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 Brian Gerondale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Gerondale accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Brian Gerondale 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 Brian Gerondale affiliated with any hospitals?

According to CMS data, Brian Gerondale is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Brian Gerondale was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.