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MARK SPOOLSTRA MD
NPI 1912953662
Internal Medicine in Grand Rapids, MI

Active since May 25, 2006PECOS Enrolled
300 LAFAYETTE AVE SE, SUITE 4200, GRAND RAPIDS, MI 49503(616) 685-6919(616) 685-3063 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Spoolstra Md NPPES

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

MARK SPOOLSTRA MD (NPI 1912953662) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301050964) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912953662
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK SPOOLSTRACredential: MD
Location Address300 LAFAYETTE AVE SE, SUITE 4200Grand Rapids, MI 49503-4650
Mailing Address245 State St SeGrand Rapids, MI 49503-4328 · (616) 685-1808 · Fax (616) 685-1850
Phone(616) 685-6919
Fax(616) 685-3063
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedDecember 17, 2021
✔ NPI 1912953662 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 · 4301050964
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.
300 LAFAYETTE AVE SE, Grand Rapids, MI 49503
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Other Identifiers 6

Medicaid3415869MI
Medicaid4203852MI
Medicaid3483125MI
Medicaid4879002MI
Medicaid4194243MI
Medicaid4878990MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Spoolstra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Spoolstra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantage Health Saint Mary's Medical Group
0.1 mi
Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1952340911 (616) 685-5000

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
22 services11 patients

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
$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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
91%178 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
76%41 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,497 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
10%320 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
80%118 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
56%347 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%330 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%347 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
77%347 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
69%347 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DESMOND JAVON HARDEN MD
Internal Medicine
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6919
IBRAHIM RAZA MD
Internal Medicine
300 LAFAYETTE AVE SE, SUITE 3000
GRAND RAPIDS, MI 49503
Kent County (616) 685-4615
ALLISON WILLETT RDN
Dietitian, Registered
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5003
SHRUTI JAVALI
Family Medicine
300 LAFAYETTE AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
JOHN CAVACECE DO
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
RUGGERO BATTAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
300 LAFAYETTE AVE SE, STE 2045
GRAND RAPIDS, MI 49503
Kent County (616) 685-8760
MAHA AYASHI MD
Family Medicine
300 LAFAYETTE AVE SE, STE 4000
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922
JOHN VANSCHAGEN MD
Family Medicine
300 LAFAYETTE AVE SE, SUITE 4200
GRAND RAPIDS, MI 49503
Kent County (616) 685-6922

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 Mark Spoolstra's NPI number?

The NPI number for Mark Spoolstra is 1912953662. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Mark Spoolstra located?

Mark Spoolstra practices at 300 Lafayette Ave SE Suite 4200, Grand Rapids, MI 49503. The listed phone number is (616) 685-6919.

What is Mark Spoolstra's specialty?

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

Is Mark Spoolstra enrolled in Medicare?

Yes. Mark Spoolstra is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Spoolstra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Spoolstra reassigns Medicare benefits to Advantage Health Saint Mary's Medical Group (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 Mark Spoolstra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Spoolstra accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark Spoolstra 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.

When was this NPI record last updated?

The NPPES record for Mark Spoolstra was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.