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DR. LARRY PINTER M.D.
NPI 1861429177
Internal Medicine in Grand Rapids, MI

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
80 68TH ST SE, GRAND RAPIDS, MI 49548(616) 391-8242 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2025, Jul 11, 2025 (2 updates tracked since 2025).

About Dr. Larry Pinter M.d. NPPES

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

DR. LARRY PINTER M.D. (NPI 1861429177) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301514553) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1861429177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LARRY PINTERCredential: M.D.
Location Address80 68TH ST SEGrand Rapids, MI 49548-6980
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 391-8242
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 26, 2006
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1861429177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301514553
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Larry Pinter M.d. 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 ID2961395892
PECOS Enrollment IDI20250731000669
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Larry Pinter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health And Hospitals Corporation
Mental Health (Including Community Mental Health Center)
4700 W 95TH ST, SUITE LOWER LEVEL 5
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • 4,870 clinicians in this Medicare group
NPI 1174747075 (800) 216-1110
Carle Health Medical Group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Carle West Physician Group Inc
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Spectrum Health Primary Care Partners
Dietitian, Registered
4069 LAKE DR SE, STE. 315
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1043655780 (616) 267-8950

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
179 services176 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
117 services113 patients
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.
116 services112 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
57 services57 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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.

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.

EMILY ELIZABETH ZECIC PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
HEATHER ELIZABETH CHAPPELL DNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SAMANTHA NICOLE LUBBERS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
DANA LOSS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
ASHLIE WILBON GYR FNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (877) 362-8362
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
CLAIRE MARGARET ESPARZA PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242

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 Larry Pinter's NPI number?

The NPI number for Larry Pinter is 1861429177. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Larry Pinter located?

Larry Pinter practices at 80 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 391-8242.

What is Larry Pinter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Larry Pinter enrolled in Medicare?

Yes. Larry Pinter 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.

Which organizations bill Medicare for Larry Pinter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Pinter reassigns Medicare benefits to 4 organizations: Advocate Health And Hospitals Corporation (Oak Lawn, IL), Carle Health Medical Group (Urbana, IL), Carle West Physician Group Inc (Normal, IL) and Spectrum Health Primary Care Partners (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Larry Pinter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Pinter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Larry Pinter 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 Larry Pinter affiliated with any hospitals?

According to CMS data, Larry Pinter is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Larry Pinter was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.