UDO G FOREMAN PA-C
NPI 1750685335
Physician Assistant in Grand Rapids, MI

Active since December 22, 2010PECOS EnrolledAccepts Medicare Assignment
80.77/100
CMS Quality Rating
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1680 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Udo G Foreman Pa-c NPPES

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

UDO G FOREMAN PA-C (NPI 1750685335) is an individual physician assistant in Grand Rapids, Michigan, licensed in Kansas (15-02569) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, is affiliated with Tri Valley Health System, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1750685335
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameUDO G FOREMANCredential: PA-C
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address2537 Momentum Pl, Suite 200Chicago, IL 60689-5325 · (616) 975-1845 · Fax (616) 285-0846
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 22, 2010
Last NPPES UpdateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1750685335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in KS · 15-02569 Licensed in MI · 5601006199 Licensed in CO · 3145 Licensed in NE · 2745
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Identifiers 1

Other5410563MI · Bcbsm Pin

Accepted 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

Udo G Foreman Pa-c 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 ID2062687924
PECOS Enrollment IDI20220201002764, I20230208001648
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.

Hospital Affiliations CMS Care Compare 4

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

Tri Valley Health System

Critical Access Hospitals · Cambridge, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281348
Location1305 West Highway 6/34Cambridge, NE 69022 · Furnas County
Emergency services

Chase County Community Hospital

Critical Access Hospitals · Imperial, NE
OwnershipGovernment - Local
CMS Certification Number281351
LocationP O Box 819, 600 W 12th StImperial, NE 69033 · Chase County
Emergency services

Community Medical Center, Inc.

Critical Access Hospitals · Falls City, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number281352
LocationP O Box 399, 3307 Bill Schock BoulevardFalls City, NE 68355 · Richardson County
Emergency services

Box Butte General Hospital

Critical Access Hospitals · Alliance, NE
OwnershipGovernment - Local
CMS Certification Number281360
LocationP O Box 810, 2101 Box Butte AveAlliance, NE 69301 · Box Butte County
Emergency services

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.

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.

80.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.38
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$106.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$109.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
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 Udo Foreman's NPI number?

The NPI number for Udo Foreman is 1750685335. It was assigned to this individual provider in the NPPES registry on December 22, 2010.

Where is Udo Foreman located?

Udo Foreman practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1680.

What is Udo Foreman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Udo Foreman enrolled in Medicare?

Yes. Udo Foreman 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.

What insurance does Udo Foreman accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company and UnitedHealthcare list Udo Foreman 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 Udo Foreman affiliated with any hospitals?

According to CMS data, Udo Foreman is affiliated with Tri Valley Health System, Chase County Community Hospital, Community Medical Center, Inc. and Box Butte General Hospital.

When was this NPI record last updated?

The NPPES record for Udo Foreman was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.