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DR. BRIAN K PETROELJE MD
NPI 1801823950
Internal Medicine - Infectious Disease in Grand Rapids, MI

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
230 MICHIGAN ST NE, SUITE 230, GRAND RAPIDS, MI 49503(616) 774-2822(616) 391-8665 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Brian K Petroelje Md NPPES

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

DR. BRIAN K PETROELJE MD (NPI 1801823950) is an individual infectious disease provider in Grand Rapids, Michigan, licensed in Michigan (4301086846) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Wayne State University School Of Medicine (2002).

NPPES Registry Identity

NPI1801823950
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. BRIAN K PETROELJECredential: MD
Location Address230 MICHIGAN ST NE, SUITE 230Grand Rapids, MI 49503-2550
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 774-2822
Phone(616) 774-2822
Fax(616) 391-8665
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2002
Enumeration DateJune 26, 2006
Last NPPES UpdateFebruary 25, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1801823950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MI · 4301086846
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
230 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

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

Dr. Brian K Petroelje 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 ID5991722597
PECOS Enrollment IDI20051101001037
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
57 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

JOANN ELIZABETH BAAR FNP
Nurse Practitioner (Family)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
GORDANA SIMEUNOVIC M.D.
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
BC PRICE PROFESSIONAL SERVICES LLC
Social Worker (Clinical)
230 MICHIGAN ST NE, STE# 102
GRAND RAPIDS, MI 49503
Kent County (616) 540-7089
AZIZULLAH KHAN MD
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
MIMI EMIG M.D.
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
DR. PATRICIA REILLY LAGRAND MD
Internal Medicine
230 MICHIGAN ST NE, STE 102
GRAND RAPIDS, MI 49503
Kent County (616) 971-0060
VALERI A. RUSCO PAC
Physician Assistant (Surgical)
230 MICHIGAN ST NE, SUITE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101
MR. THOMAS SZCZYTKO CP
Prosthetist
230 MICHIGAN ST NE, STE 200
GRAND RAPIDS, MI 49503
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 Brian Petroelje's NPI number?

The NPI number for Brian Petroelje is 1801823950. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Brian Petroelje located?

Brian Petroelje practices at 230 Michigan St NE Suite 230, Grand Rapids, MI 49503. The listed phone number is (616) 774-2822.

What is Brian Petroelje's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Brian Petroelje enrolled in Medicare?

Yes. Brian Petroelje 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 Brian Petroelje accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brian Petroelje 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 Brian Petroelje affiliated with any hospitals?

According to CMS data, Brian Petroelje is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Brian Petroelje was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.