DR. DAVID LOUIS WEATHERLY M.D.
NPI 1558672998
Urology in Grand Rapids, MI
About Dr. David Louis Weatherly M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID LOUIS WEATHERLY M.D. (NPI 1558672998) is an individual urology provider in Grand Rapids, Michigan, licensed in Michigan (4301096915) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 3
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. David Louis Weatherly M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show David Weatherly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Urologic Consultants PC
- 13 clinicians in this Medicare group
St Clair Shores, MI 48081
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Michigan Institute Of Urology PC
- 86 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 David Weatherly's NPI number?
The NPI number for David Weatherly is 1558672998. It was assigned to this individual provider in the NPPES registry on June 30, 2010.
Where is David Weatherly located?
David Weatherly practices at 25 Michigan St NE Ste 3300, Grand Rapids, MI 49503. The listed phone number is (616) 459-4171.
What is David Weatherly's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is David Weatherly enrolled in Medicare?
Yes. David Weatherly 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 David Weatherly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Weatherly reassigns Medicare benefits to 2 organizations: Alliance Physician Services Of Michigan, P.C. (Grand Rapids, MI) and Alliance Physician Services Of Michigan, P.C. (St Clair Shores, MI). 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 David Weatherly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does David Weatherly 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 3 other insurers list David Weatherly 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 David Weatherly was last updated on January 30, 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.
# Dr. David Louis Weatherly, M.D. · NPI 1558672998
Urology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2010.
## Identity
- **NPI:** 1558672998 (Entity type: Individual)
- **Enumerated:** June 30, 2010
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 4301096915 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 25 MICHIGAN ST NE STE 3300, Grand Rapids, MI 49503-2558
- **Phone:** (616) 459-4171 · **Fax:** (616) 459-0044
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Alliance Physician Services Of Michigan, P.C. (NPI 1598865735, Grand Rapids, MI); Alliance Physician Services Of Michigan, P.C. (NPI 1427027416, St Clair Shores, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** January 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558672998) · Data from the CMS NPPES public registry.