THOMAS M MATELIC MD
NPI 1700873874
Orthopaedic Surgery - Sports Medicine in Grand Rapids, MI

Q: What is Thomas Matelic's NPI number?

The NPI number for Thomas Matelic is 1700873874. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Thomas Matelic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Matelic was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment

1111 LEFFINGWELL AVE NE, STE 100, GRAND RAPIDS, MI 49525(616) 459-7101 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Thomas M Matelic Md NPPES

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

THOMAS M MATELIC MD (NPI 1700873874) is an individual sports medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301054564) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (1989).

NPPES Registry Identity

NPI1700873874

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameTHOMAS M MATELICCredential: MD

Location Address1111 LEFFINGWELL AVE NE, STE 100Grand Rapids, MI 49525-6406

Mailing Address1111 Leffingwell Ave Ne, Ste 100Grand Rapids, MI 49525-6406 · (616) 459-7101

Phone(616) 459-7101

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1989

Enumeration DateOctober 4, 2005

Last NPPES UpdateMarch 12, 2013

✔ NPI 1700873874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in MI · 4301054564

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525

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Other Identifiers 5

Medicare UPINF97525

Medicare PIN0D14869011

Medicare NSC0442790001

Medicaid103308680MI

Medicare PIN200029297

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

Thomas M Matelic 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 ID5799752564

PECOS Enrollment IDI20100115000456

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

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

Orthopaedic Associates Of Grand Rapids, PC

Same address

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE
Grand Rapids, MI 49525

Reassigned Medicare billing, Michigan enrollment
69 clinicians in this Medicare group

NPI 1023021300 (616) 459-7101

Metropolitan Hospital

2.8 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

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 3

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.

26 services23 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.

19 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 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

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

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.

JUSTIN MICHAEL MILLER PA

Physician Assistant (Surgical)

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

DR. CHARLES D BUKREY MD

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

LAURA L BUCKS OT

Occupational Therapist

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

KURT THOMAS GEFFKEN MD

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

SCOTT DAVID BURGESS MD

Orthopaedic Surgery (Hand Surgery)

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

KELLY J NYE OT

Occupational Therapist

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

JOSEPH N PIGORSH PAC

Physician Assistant (Surgical)

1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

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 Thomas Matelic's NPI number?

The NPI number for Thomas Matelic is 1700873874. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Thomas Matelic located?

Thomas Matelic practices at 1111 Leffingwell Ave NE Ste 100, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Thomas Matelic's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Thomas Matelic enrolled in Medicare?

Yes. Thomas Matelic 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 Thomas Matelic's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Matelic 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 Thomas Matelic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Matelic accept?

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

According to CMS data, Thomas Matelic is affiliated with Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Thomas Matelic was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.