DAVID POZIVILKO MD
NPI 1609371988
Radiology - Diagnostic Radiology in Grand Rapids, MI

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525(616) 363-7272(616) 361-5828 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2023, Mar 28, 2018 (2 updates tracked since 2018).

About David Pozivilko Md NPPES

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

DAVID POZIVILKO MD (NPI 1609371988) is an individual diagnostic radiology provider in Grand Rapids, Michigan, licensed in Michigan (4301508742) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609371988
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDAVID POZIVILKOCredential: MD
Location Address3264 N EVERGREEN DR NEGrand Rapids, MI 49525-9746
Mailing Address3264 N Evergreen Dr NeGrand Rapids, MI 49525-9746 · (616) 363-7272 · Fax (616) 361-5828
Fax(616) 361-5828
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateFebruary 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2024
✔ NPI 1609371988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301508742
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3264 N EVERGREEN DR NE, Grand Rapids, MI 49525

Secondary Practice Locations 2

Location 122 Bramhall StPortland, ME 04102-3134 · Phone (207) 662-0111
Location 22799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-7425 · Fax (313) 916-7925

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

David Pozivilko 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 ID6002281011
PECOS Enrollment IDI20230503001665
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

2

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

Diagnostic Radiology
3264 N EVERGREEN DR NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 228 clinicians in this Medicare group
Pediatrics
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 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 19

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.

Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
231 services228 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
104 services104 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
88 services88 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
87 services87 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
69 services69 patients
Ct scan of lower spine without contrast 72131
A CT scan of the lower spine without contrast is a non-invasive imaging test. It uses X-rays to create detailed images of your lower back area, helping to detect conditions like fractures, infections, or tumors. It's painless and generally quick.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services 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

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number230075
Location300 North AvenueBattle Creek, MI 49017 · Calhoun County
Emergency services Birthing friendly

Mymichigan Medical Center Midland

Acute Care Hospitals · Midland, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230222
Location4000 Wellness DriveMidland, MI 48670 · Midland County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 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.

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.

Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Physician Assistant
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525
Radiology (Diagnostic Radiology)
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525

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 Pozivilko's NPI number?

The NPI number for David Pozivilko is 1609371988. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is David Pozivilko located?

David Pozivilko practices at 3264 N Evergreen Dr NE, Grand Rapids, MI 49525. The listed phone number is (616) 363-7272.

What is David Pozivilko's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is David Pozivilko enrolled in Medicare?

Yes. David Pozivilko 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 Pozivilko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Pozivilko reassigns Medicare benefits to 2 organizations: Advanced Radiology Services PC (Grand Rapids, MI) and Henry Ford Health System (Detroit, 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 Pozivilko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Pozivilko affiliated with any hospitals?

According to CMS data, David Pozivilko is affiliated with Bronson Methodist Hospital, Lakeland Hospital, St Joseph, Spectrum Health, Bronson Battle Creek Hospital and Mymichigan Medical Center Midland.

When was this NPI record last updated?

The NPPES record for David Pozivilko was last updated on February 1, 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.