DR. KEVIN ANDREW SMALLEY D.O.
NPI 1548619943
Family Medicine in Grand Haven, MI

Q: What is Kevin Smalley's NPI number?

The NPI number for Kevin Smalley is 1548619943. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Q: What is Kevin Smalley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Smalley was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment

1445 SHELDON RD, STE 3000, GRAND HAVEN, MI 49417(616) 296-1500(616) 296-1502 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 25, 2025, Nov 4, 2024, Dec 8, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Dr. Kevin Andrew Smalley D.o. NPPES

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

DR. KEVIN ANDREW SMALLEY D.O. (NPI 1548619943) is an individual family medicine provider in Grand Haven, Michigan, licensed in Michigan (5101022547) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Grand Haven Hospital, and maintains a secondary practice location in Pittsboro.

NPPES Registry Identity

NPI1548619943

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. KEVIN ANDREW SMALLEYCredential: D.O.

Location Address1445 SHELDON RD, STE 3000Grand Haven, MI 49417

Mailing AddressPo Box 776982Chicago, IL 60677-6982 · (800) 494-5797

Phone(616) 296-1500

Fax(616) 296-1502

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2016

Enumeration DateJune 7, 2016

Last NPPES UpdateNovember 25, 20254 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1548619943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101022547

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1445 SHELDON RD, Grand Haven, MI 49417

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Secondary Practice Location 1

Location 175 Freedom Pkwy Ste CPittsboro, NC 27312-4939 · Phone (919) 545-0911 · Fax (919) 545-0096

Other Identifiers 1

Medicaid1548619943MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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. Kevin Andrew Smalley 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 ID4183983562

PECOS Enrollment IDI20250605003838

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 Reassignments

Medicare enrollment records show Kevin Smalley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Noch Physician Billing Company LLC

0.1 mi

Family Medicine

1309 SHELDON RD
Grand Haven, MI 49417

Reassigned Medicare billing, Michigan enrollment
28 clinicians in this Medicare group

NPI 1972550580 (616) 844-4528

Unc Physicians Network, LLC

601 mi

Urology

1236 HUFFMAN MILL RD, SUITE 2550
Burlington, NC 27215

Reassigned Medicare billing, North Carolina enrollment
1,337 clinicians in this Medicare group

NPI 1053751586 (336) 584-6300

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 3

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.

46 services28 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.

27 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.

25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number230174

Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County

Emergency services

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number340061

Location101 Manning DriveChapel Hill, NC 27514 · Orange County

Emergency services Birthing friendly

Chatham Hospital Inc

Critical Access Hospitals · Siler City, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number341311

Location475 Progress BlvdSiler City, NC 27344 · Chatham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers11 claims34 services$6.35 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$209.61 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.

MEGAN AUFFREY ZAMBIASI MA, LLP

Psychologist

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 847-5145

SHAWN PATRICK REIDY MD

Family Medicine

1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1500

PINE REST CHRISTIAN MENTAL HEALTH SERVICES

Psychiatry & Neurology (Psychiatry)

1445 SHELDON RD, HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI 49417

Ottawa County (616) 847-5145

JENNIFER MARIE ZERKLE FNP-C

Nurse Practitioner

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1550

RICHARD ANTHONY BASZLER II D.O.

Orthopaedic Surgery

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 296-9100

SHORELINE OPTICAL, LLC

Eyewear Supplier

1445 SHELDON RD, SUITE 100
GRAND HAVEN, MI 49417

Ottawa County (231) 739-9009

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Internal Medicine

1445 SHELDON RD
GRAND HAVEN, MI 49417

Ottawa County (616) 846-1860

KAYLIE DIONNE WATERS RN, BSN

Nurse Practitioner

1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417

Ottawa County (616) 296-1500

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 Kevin Smalley's NPI number?

The NPI number for Kevin Smalley is 1548619943. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Kevin Smalley located?

Kevin Smalley practices at 1445 Sheldon Rd Ste 3000, Grand Haven, MI 49417. The listed phone number is (616) 296-1500.

What is Kevin Smalley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Smalley enrolled in Medicare?

Yes. Kevin Smalley 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 organizations bill Medicare for Kevin Smalley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Smalley reassigns Medicare benefits to 2 organizations: Noch Physician Billing Company LLC (Grand Haven, MI) and Unc Physicians Network, LLC (Burlington, NC). Each 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 Kevin Smalley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Smalley accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Kevin Smalley 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 Kevin Smalley affiliated with any hospitals?

According to CMS data, Kevin Smalley is affiliated with Trinity Health Grand Haven Hospital, Unc Hospitals and Chatham Hospital Inc.

When was this NPI record last updated?

The NPPES record for Kevin Smalley was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.