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ALYSSA MCMANDON DO
NPI 1790627271
Surgery - Vascular Surgery in Grand Rapids, MI

Active since April 06, 2026PECOS Enrolled
275 MICHIGAN ST NE FL 6, GRAND RAPIDS, MI 49503(616) 267-8700 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alyssa Mcmandon Do NPPES

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

ALYSSA MCMANDON DO (NPI 1790627271) is an individual vascular surgery provider in Grand Rapids, Michigan, licensed in Michigan (5151017911) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790627271
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameALYSSA MCMANDONCredential: DO
Location Address275 MICHIGAN ST NE FL 6Grand Rapids, MI 49503-2531
Mailing Address275 Michigan St Ne Fl 6Grand Rapids, MI 49503-2531 · (616) 267-8700
Phone(616) 267-8700
Sole ProprietorNo
Enumeration DateApril 6, 2026
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1790627271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 5151017911
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
275 MICHIGAN ST NE FL 6, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Mcmandon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 5

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

BENJAMIN TALBOT MD
Surgery (Vascular Surgery)
275 MICHIGAN ST NE FL 6
GRAND RAPIDS, MI 49503
Kent County (616) 267-8700
CHRISTINA MARIA SUPINO DO
Surgery (Vascular Surgery)
275 MICHIGAN ST NE FL 6
GRAND RAPIDS, MI 49503
Kent County (616) 267-8700
MAXWELL THIBODEAU TULIMIERI MD
Surgery (Vascular Surgery)
275 MICHIGAN ST NE FL 6
GRAND RAPIDS, MI 49503
Kent County (616) 267-8700
DR. JACOB RUSSELL JENKINS DO
Surgery (Vascular Surgery)
275 MICHIGAN ST NE FL 6
GRAND RAPIDS, MI 49503
Kent County (616) 267-8700
DAR CHUNG MD
Surgery (Vascular Surgery)
275 MICHIGAN ST NE FL 6
GRAND RAPIDS, MI 49503
Kent County (616) 267-8700

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 Alyssa Mcmandon's NPI number?

The NPI number for Alyssa Mcmandon is 1790627271. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Alyssa Mcmandon located?

Alyssa Mcmandon practices at 275 Michigan St NE Fl 6, Grand Rapids, MI 49503. The listed phone number is (616) 267-8700.

What is Alyssa Mcmandon's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Alyssa Mcmandon enrolled in Medicare?

Yes. Alyssa Mcmandon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alyssa Mcmandon was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.