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BRIAN JOSEPH HINKLEY D.O.
NPI 1619269222
Family Medicine - Sports Medicine in Grand Rapids, MI

Active since May 15, 2011PECOS EnrolledAccepts Medicare Assignment
4300 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 252-1500(616) 252-1599 Get Directions Write a Review

NPPES record last updated: December 12, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2017, Dec 5, 2017, Feb 17, 2017 and 1 more (4 updates tracked since 2016).

About Brian Joseph Hinkley D.o. NPPES

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

BRIAN JOSEPH HINKLEY D.O. (NPI 1619269222) is an individual sports medicine provider in Grand Rapids, Michigan, licensed in Michigan (5101019138) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Michigan State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1619269222
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBRIAN JOSEPH HINKLEYCredential: D.O.
Location Address4300 CASCADE RD SEGrand Rapids, MI 49546-8328
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Phone(616) 252-1500
Fax(616) 252-1599
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateMay 15, 2011
Last NPPES UpdateDecember 12, 20174 updates tracked since enumeration
✔ NPI 1619269222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MI · 5101019138
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5101019138 (MI)
4300 CASCADE RD SE, Grand Rapids, MI 49546
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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, Priority Health.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

Brian Joseph Hinkley 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 ID3971728957
PECOS Enrollment IDI20140707002145
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 Brian Hinkley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Hospital
0.4 mi
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 clinicians in this Medicare group
NPI 1720590961 (616) 252-4010
Edward W Sparrow Hospital Association
25 mi
Pain Medicine
205 S DEXTER ST
Ionia, MI 48846
  • Reassigned Medicare billing, Michigan enrollment
  • 916 clinicians in this Medicare group
NPI 1891486205 (616) 527-0558

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 4

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.
90 services50 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.
26 services26 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.
25 services19 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · 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 15

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

KRISTI KERN D.O.
Family Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
EDWIN T KORNOELJE D.O.
Family Medicine (Sports Medicine)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
JENNIFER ANNE CORY DO
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
ANUSHA KUMBAM MD
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
HEATHER DICKINSON PA-C
Physician Assistant
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
DR. ADAM TROY WOLFE DO
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
ELIZABETH WILSON
Nurse Practitioner (Family)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Kent County (616) 252-1500
DAVID G FRYE PC
Orthopaedic Surgery
4300 CASCADE RD SE, SUITE 103
GRAND RAPIDS, MI 49546
Kent County (616) 243-7900

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 Hinkley's NPI number?

The NPI number for Brian Hinkley is 1619269222. It was assigned to this individual provider in the NPPES registry on May 15, 2011.

Where is Brian Hinkley located?

Brian Hinkley practices at 4300 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 252-1500.

What is Brian Hinkley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Brian Hinkley enrolled in Medicare?

Yes. Brian Hinkley 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 Brian Hinkley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Hinkley reassigns Medicare benefits to 2 organizations: Metropolitan Hospital (Grand Rapids, MI) and Edward W Sparrow Hospital Association (Ionia, 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 Brian Hinkley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Hinkley accept?

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

According to CMS data, Brian Hinkley is affiliated with Lakeland Hospital, St Joseph, Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Brian Hinkley was last updated on December 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.