JUSTIN SHAYNE FANNING MD
NPI 1700908522
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Grand Rapids, MI

Q: What is Justin Fanning's NPI number?

The NPI number for Justin Fanning is 1700908522. It was assigned to this individual provider in the NPPES registry on April 4, 2007.

Q: What is Justin Fanning's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Fanning was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 April 04, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

221 MICHIGAN ST NE STE 300, GRAND RAPIDS, MI 49503(616) 459-7258(616) 459-5215 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 8, 2021, Mar 24, 2016 (2 updates tracked since 2016).

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About Justin Shayne Fanning Md NPPES

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

JUSTIN SHAYNE FANNING MD (NPI 1700908522) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Grand Rapids, Michigan, licensed in Michigan (4301074884) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1999).

NPPES Registry Identity

NPI1700908522

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameJUSTIN SHAYNE FANNINGCredential: MD

Location Address221 MICHIGAN ST NE STE 300Grand Rapids, MI 49503-2537

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 459-7258

Fax(616) 459-5215

Sole ProprietorNo

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1999

Enumeration DateApril 4, 2007

Last NPPES UpdateMarch 14, 20222 updates tracked since enumeration

NPPES CertifiedMarch 14, 2022

✔ NPI 1700908522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

License✔ Licensed in MI · 4301074884

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

221 MICHIGAN ST NE STE 300, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin Shayne Fanning 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 ID5092814798

PECOS Enrollment IDI20110513000586

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.

Areas of Expertise CMS Part B claims 10

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.

40 services39 patients

Replacement of aortic valve through the skin and femoral artery 33361

This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.

33 services33 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

24 services24 patients

Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance 33370

This procedure involves inserting a device through a catheter to shield the brain from harmful blood clots (embolism). The process is monitored using imaging technology. After serving its purpose, the device is carefully removed through the same pathway.

16 services16 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

15 services15 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230093

Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County

Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230110

LocationOne N Atkinson DriveLudington, MI 49431 · Mason County

Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231323

Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County

Emergency services

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231338

Location212 S Sullivan StFremont, MI 49412 · Newaygo 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

BRYAN D ANDERSON PAC

Physician Assistant (Surgical)