DR. RACHAEL POLTER PHD
NPI 1962066183
Psychologist - Clinical in Grand Rapids, MI

Active since April 23, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-7401(616) 267-7594 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 9, 2024, Jul 7, 2023, May 9, 2023 and 2 more (5 updates tracked since 2019).

About Dr. Rachael Polter Phd NPPES

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

DR. RACHAEL POLTER PHD (NPI 1962066183) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019251) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1962066183
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RACHAEL POLTERCredential: PHD
Location Address275 MICHIGAN ST NEGrand Rapids, MI 49503-2531
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Fax(616) 267-7594
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2019
Last NPPES UpdateApril 18, 20255 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
NPI 1962066183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301019251
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
275 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

Dr. Rachael Polter Phd 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 ID5496083800
PECOS Enrollment IDI20230623002033
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 3

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.

Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
51 services28 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
30 services30 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
28 services28 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 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
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.

Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Pediatrics
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Clinical Neuropsychologist
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner
275 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Nurse Practitioner (Gerontology)
275 MICHIGAN ST NE
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 Rachael Polter's NPI number?

The NPI number for Rachael Polter is 1962066183. It was assigned to this individual provider in the NPPES registry on April 23, 2019.

Where is Rachael Polter located?

Rachael Polter practices at 275 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-7401.

What is Rachael Polter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rachael Polter enrolled in Medicare?

Yes. Rachael Polter 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 Rachael Polter accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Health Insurance and Priority Health list Rachael Polter 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 Rachael Polter affiliated with any hospitals?

According to CMS data, Rachael Polter is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Rachael Polter was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.