MARK S ASPERHEIM MD
NPI 1699763177
Orthopaedic Surgery in Grand Rapids, MI

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
555 MIDTOWNE ST NE, SUITE 105, GRAND RAPIDS, MI 49503(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: June 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark S Asperheim Md NPPES

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

MARK S ASPERHEIM MD (NPI 1699763177) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301064548) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and is a graduate of University Of Wisconsin School Of Medicine (1987).

NPPES Registry Identity

NPI1699763177
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK S ASPERHEIMCredential: MD
Location Address555 MIDTOWNE ST NE, SUITE 105Grand Rapids, MI 49503-5729
Mailing Address1111 Leffingwell Ave Ne, Ste 100Grand Rapids, MI 49525-6406 · (616) 459-7101 · Fax (616) 454-6170
Fax(616) 464-6170
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1987
Enumeration DateOctober 10, 2005
Last NPPES UpdateJune 28, 2016
✔ NPI 1699763177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 4301064548
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
555 MIDTOWNE ST NE, Grand Rapids, MI 49503

Other Identifiers 6

Medicaid103062508MI
Other200021932Rr Medicare
Medicare PIN0D14869009
Medicare NSC0442790001
Medicare UPINF85658
Medicaid3062508MI

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

Mark S Asperheim 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 ID6507833373
PECOS Enrollment IDI20080229000332
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 Mark Asperheim reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525
  • Reassigned Medicare billing, Michigan enrollment
  • 69 clinicians in this Medicare group
Urgent Care
4055 CASCADE RD SE
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 685 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 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 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.
35 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
17 services16 patients
Mri scan of leg joint without contrast 73721
An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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 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.

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.

Plastic Surgery
555 MIDTOWNE ST NE, SUITE 110
GRAND RAPIDS, MI 49503
Clinic/Center (Ambulatory Surgical)
555 MIDTOWNE ST NE, SUITE 200
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Dermatology
555 MIDTOWNE ST NE, SUITE 301
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, STE 450
GRAND RAPIDS, MI 49503
Obstetrics & Gynecology
555 MIDTOWNE ST NE, SUITE 302
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Cardiology)
555 MIDTOWNE ST NE, SUITE 310
GRAND RAPIDS, MI 49503
Orthopaedic Surgery
555 MIDTOWNE ST NE, SUITE 105
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 Mark Asperheim's NPI number?

The NPI number for Mark Asperheim is 1699763177. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Mark Asperheim located?

Mark Asperheim practices at 555 Midtowne St NE Suite 105, Grand Rapids, MI 49503. The listed phone number is (616) 459-7101.

What is Mark Asperheim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Asperheim enrolled in Medicare?

Yes. Mark Asperheim 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 Mark Asperheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Asperheim reassigns Medicare benefits to 2 organizations: Orthopaedic Associates Of Grand Rapids, PC (Grand Rapids, MI) and Metropolitan Hospital (Grand Rapids, 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 Mark Asperheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Asperheim accept?

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

According to CMS data, Mark Asperheim is affiliated with University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Mark Asperheim was last updated on June 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.