AUSTEN NICOLE KNAPP MD
NPI 1871098111
Ophthalmology in Grand Rapids, MI

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 954-2020(616) 949-0408 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2024, Apr 4, 2024, Jul 7, 2022 and 3 more (6 updates tracked since 2018).

About Austen Nicole Knapp Md NPPES

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

AUSTEN NICOLE KNAPP MD (NPI 1871098111) is an individual ophthalmology provider in Grand Rapids, Michigan, licensed in Michigan (4351028281) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2018).

NPPES Registry Identity

NPI1871098111
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameAUSTEN NICOLE KNAPPCredential: MD
Location Address5030 CASCADE RD SEGrand Rapids, MI 49546-3725
Mailing Address5030 Cascade Rd SeGrand Rapids, MI 49546-3725 · (616) 954-2020 · Fax (616) 949-0408
Fax(616) 949-0408
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2018
Enumeration DateMarch 28, 2018
Last NPPES UpdateSeptember 19, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
NPI 1871098111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in MI · 4351028281 Licensed in CA · A177155
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5030 CASCADE RD SE, 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

Austen Nicole Knapp 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 ID4284989096
PECOS Enrollment IDI20240715001388
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 9

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
147 services111 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
71 services60 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.
53 services53 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
51 services38 patients
Unclassified biologics J3590
Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.
40 services23 patients
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.
20 services20 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 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
$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
$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.

Other Providers at the Same Location NPPES 10

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

Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Retina Specialist)
5030 CASCADE RD SE
GRAND RAPIDS, MI 49546
Ophthalmology (Uveitis and Ocular Inflammatory Disease)
5030 CASCADE RD SE
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 Austen Knapp's NPI number?

The NPI number for Austen Knapp is 1871098111. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Austen Knapp located?

Austen Knapp practices at 5030 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 954-2020.

What is Austen Knapp's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Austen Knapp enrolled in Medicare?

Yes. Austen Knapp 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 Austen Knapp accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Austen Knapp 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 Austen Knapp affiliated with any hospitals?

According to CMS data, Austen Knapp is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Austen Knapp was last updated on September 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.