MARY ADELINE GIPSON
NPI 1841808565
Emergency Medicine in Grand Rapids, MI

Active since July 20, 2020PECOS EnrolledAccepts Medicare Assignment
96.27/100
CMS Quality Rating
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546(616) 988-8220 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 31, 2024, Jun 20, 2024, May 18, 2022 and 1 more (4 updates tracked since 2020).

About Mary Adeline Gipson NPPES

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

MARY ADELINE GIPSON (NPI 1841808565) is an individual emergency medicine provider in Grand Rapids, Michigan, licensed in Michigan (5315226337) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Central Michigan College Of Medicine (2021).

NPPES Registry Identity

NPI1841808565
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMARY ADELINE GIPSON
Location Address4100 EMBASSY DR SE STE 400Grand Rapids, MI 49546-2416
Mailing Address4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416
Sole ProprietorYes
Medical School CMSCentral Michigan College Of MedicineGraduated 2021
Enumeration DateJuly 20, 2020
Last NPPES UpdateJuly 31, 20244 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
NPI 1841808565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MI · 5315226337
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4100 EMBASSY DR SE STE 400, Grand Rapids, MI 49546

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

Mary Adeline Gipson 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 ID7315348463
PECOS Enrollment IDI20230920003441
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
77 services76 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
40 services38 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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$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.

96.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.89
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

Physician Assistant (Medical)
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Emergency Medicine
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Clinical Nurse Specialist
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Registered Nurse
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Physician Assistant
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Physician Assistant
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Nurse Practitioner
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546
Emergency Medicine
4100 EMBASSY DR SE STE 400
GRAND RAPIDS, MI 49546

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 Mary Gipson's NPI number?

The NPI number for Mary Gipson is 1841808565. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Mary Gipson located?

Mary Gipson practices at 4100 Embassy Dr SE Ste 400, Grand Rapids, MI 49546. The listed phone number is (616) 988-8220.

What is Mary Gipson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mary Gipson enrolled in Medicare?

Yes. Mary Gipson 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 Mary Gipson accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Mary Gipson 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 Mary Gipson affiliated with any hospitals?

According to CMS data, Mary Gipson is affiliated with Spectrum Health, Corewell Health Big Rapids Hospital and Corewell Health Reed City Hospital.

When was this NPI record last updated?

The NPPES record for Mary Gipson was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.