TROY J PEARCE MD
NPI 1861621070
Family Medicine in Grand Rapids, MI
About Troy J Pearce Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TROY J PEARCE MD (NPI 1861621070) is an individual family medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301095242) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Wayne State University School Of Medicine (2009).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Troy J Pearce 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.
Medicare Billing Reassignment
Medicare enrollment records show Troy Pearce reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corewell Health Zeeland Hospital
Acute Care Hospitals · Zeeland, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Ludington Hospital
Acute Care Hospitals · Ludington, MICorewell Health Reed City Hospital
Critical Access Hospitals · Reed City, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician 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.
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.
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.
GRAND RAPIDS, MI 49503
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 Troy Pearce's NPI number?
The NPI number for Troy Pearce is 1861621070. It was assigned to this individual provider in the NPPES registry on July 9, 2009.
Where is Troy Pearce located?
Troy Pearce practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-3139.
What is Troy Pearce's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Troy Pearce enrolled in Medicare?
Yes. Troy Pearce 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 organization bills Medicare for Troy Pearce's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Troy Pearce reassigns Medicare benefits to Spectrum Health Primary Care Partners (Grand Rapids, MI). The 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 Troy Pearce's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Troy Pearce accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Troy Pearce 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 Troy Pearce affiliated with any hospitals?
According to CMS data, Troy Pearce is affiliated with Corewell Health Zeeland Hospital, Spectrum Health, Corewell Health Ludington Hospital, Corewell Health Reed City Hospital and Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Troy Pearce 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.
# Troy J Pearce, MD · NPI 1861621070
Family Medicine physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since July 9, 2009.
## Identity
- **NPI:** 1861621070 (Entity type: Individual)
- **Enumerated:** July 9, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301095242 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 391-3139
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Spectrum Health Primary Care Partners (NPI 1790093763, Grand Rapids, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Wayne State University School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** February 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1861621070) · Data from the CMS NPPES public registry.