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DR. PETER A UGOLINI MD
NPI 1821103193
Orthopaedic Surgery in Grand Rapids, MI

Active since August 20, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2770 E BELTLINE AVE NE STE 300, GRAND RAPIDS, MI 49525(616) 267-8860(616) 267-8442 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 5, 2024, Mar 2, 2021, Jan 30, 2017 (3 updates tracked since 2017).

About Dr. Peter A Ugolini Md NPPES

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

DR. PETER A UGOLINI MD (NPI 1821103193) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (PU087302) and active in the NPI registry since August 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 (2000).

NPPES Registry Identity

NPI1821103193
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. PETER A UGOLINICredential: MD
Location Address2770 E BELTLINE AVE NE STE 300Grand Rapids, MI 49525-8614
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 267-8860
Phone(616) 267-8860
Fax(616) 267-8442
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2000
Enumeration DateAugust 20, 2006
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1821103193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · PU087302
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2770 E BELTLINE AVE NE STE 300, Grand Rapids, MI 49525
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.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. Peter A Ugolini 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 ID4284638990
PECOS Enrollment IDI20060912000440
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 7

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 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.
77 services63 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
70 services63 patients
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.
59 services53 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
35 services35 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 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.
22 services22 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 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 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 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 49525 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.

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

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 Peter Ugolini's NPI number?

The NPI number for Peter Ugolini is 1821103193. It was assigned to this individual provider in the NPPES registry on August 20, 2006.

Where is Peter Ugolini located?

Peter Ugolini practices at 2770 E Beltline Ave NE Ste 300, Grand Rapids, MI 49525. The listed phone number is (616) 267-8860.

What is Peter Ugolini's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Peter Ugolini enrolled in Medicare?

Yes. Peter Ugolini 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 Peter Ugolini accept?

Health plans from McLaren Health Plan Community and Priority Health list Peter Ugolini 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 Peter Ugolini affiliated with any hospitals?

According to CMS data, Peter Ugolini is affiliated with Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital, Corewell Health Reed City Hospital and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Peter Ugolini was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.