NICOLE K BEDORE MD
NPI 1962694752
Obstetrics & Gynecology in Grand Rapids, MI

Q: What is Nicole Bedore's NPI number?

The NPI number for Nicole Bedore is 1962694752. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Nicole Bedore's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Bedore was last updated on March 5, 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.

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment

86.44/100

CMS Quality Rating

100 MICHIGAN ST NE # MC027, GRAND RAPIDS, MI 49503(616) 391-2160(616) 391-0697 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2021, Sep 28, 2015 (2 updates tracked since 2015).

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About Nicole K Bedore Md NPPES

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

NICOLE K BEDORE MD (NPI 1962694752) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Indiana (01070819A) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Human Medicine (2007).

NPPES Registry Identity

NPI1962694752

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameNICOLE K BEDORECredential: MD

Location Address100 MICHIGAN ST NE # MC027Grand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 391-2160

Fax(616) 391-0697

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2007

Enumeration DateAugust 15, 2007

Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration

NPPES CertifiedMarch 5, 2021

✔ NPI 1962694752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01070819A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

100 MICHIGAN ST NE # MC027, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nicole K Bedore 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 ID5193960797

PECOS Enrollment IDI20150811005588

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.

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

$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.

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.

86.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.93

Promoting Interoperability

100

Improvement Activities

Cost

41.91

Other Providers at the Same Location NPPES 15

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

JAN MARGARET BUCHANAN CNM

Advanced Practice Midwife