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TODD SHOMIN MD
NPI 1578635058
Family Medicine in Grand Rapids, MI

Active since November 14, 2006Opted out of Medicare · through Jan 1, 2028
2155 EAST PARIS AVE SE STE 220, GRAND RAPIDS, MI 49546(616) 548-4468(616) 221-4468 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Todd Shomin Md NPPES

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

TODD SHOMIN MD (NPI 1578635058) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301070257) and active in the NPI registry since November 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Spectrum Health, and is a graduate of University Of Michigan Medical School (1997).

NPPES Registry Identity

NPI1578635058
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD SHOMINCredential: MD
Location Address2155 EAST PARIS AVE SE STE 220Grand Rapids, MI 49546-6195
Mailing Address100 Michigan St Ne, Mc 109 Attn Julie LGrand Rapids, MI 49503-2560
Phone(616) 548-4468
Fax(616) 221-4468
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1997
Enumeration DateNovember 14, 2006
Last NPPES UpdateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1578635058 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 · 4301070257
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.
2155 EAST PARIS AVE SE STE 220, Grand Rapids, MI 49546
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Other Identifiers 7

Medicaid4770899MI
Medicaid4773827MI
Other1598712390MI · Group Npi
Other0104110512MI · Bcbs
Medicaid4770941MI
Medicaid4774038MI
Medicaid4771090MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Todd Shomin Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims 2

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 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.
77 services71 patients
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.
35 services34 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

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand 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
$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

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

DR. ADAM AQEL DOCTOR OF PHARMACY
Pharmacist
2155 EAST PARIS AVE SE STE 220
GRAND RAPIDS, MI 49546
Kent County (616) 548-6161

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 Todd Shomin's NPI number?

The NPI number for Todd Shomin is 1578635058. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Todd Shomin located?

Todd Shomin practices at 2155 East Paris Ave SE Ste 220, Grand Rapids, MI 49546. The listed phone number is (616) 548-4468.

What is Todd Shomin's specialty?

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

Is Todd Shomin enrolled in Medicare?

No. Todd Shomin has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Todd Shomin accept?

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

According to CMS data, Todd Shomin is affiliated with Spectrum Health and Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Todd Shomin was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.