TROY J PEARCE MD
NPI 1861621070
Family Medicine in Grand Rapids, MI

Active since July 09, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-3139 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2021, Sep 19, 2017 (2 updates tracked since 2017).

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

NPI1861621070
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTROY J PEARCECredential: MD
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2009
Enumeration DateJuly 9, 2009
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1861621070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301095242
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

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

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.

PECOS PAC ID2769779578
PECOS Enrollment IDI20170728000786
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.

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.
83 services83 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.
24 services24 patients

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, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

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

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
$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.

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.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
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.

What insurance does Troy Pearce accept?

Health plans from Priority Health 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 United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital and Corewell Health Reed City 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.