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KALEIGH MARIE FETCKO-FAYAD MD
NPI 1962906545
Psychiatry & Neurology - Neurology in Grand Rapids, MI

Active since March 20, 2018PECOS EnrolledAccepts Medicare Assignment
145 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503(616) 486-6700 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2024, Jul 12, 2022, Mar 20, 2018 (3 updates tracked since 2018).

About Kaleigh Marie Fetcko-fayad Md NPPES

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

KALEIGH MARIE FETCKO-FAYAD MD (NPI 1962906545) is an individual neurology provider in Grand Rapids, Michigan, licensed in Michigan (4301511327) 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 Other (2018).

NPPES Registry Identity

NPI1962906545
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameKALEIGH MARIE FETCKO-FAYADCredential: MD
Location Address145 MICHIGAN ST NE STE 5200Grand Rapids, MI 49503-2565
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 486-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 20, 2018
Last NPPES UpdateJuly 31, 20243 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1962906545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 4301511327
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
145 MICHIGAN ST NE STE 5200, 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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaleigh Marie Fetcko-fayad 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 ID4486901873
PECOS Enrollment IDI20240624001841
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 Reassignments

6

Medicare enrollment records show Kaleigh Fetcko-fayad reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spectrum Health Primary Care Partners
0.1 mi
Pediatric Endocrinology
35 MICHIGAN ST NE STE 1800
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 2,446 clinicians in this Medicare group
NPI 1326599671 (616) 391-3933
Spectrum Health United
24 mi
Rural Health
1202 W OAK ST
Greenville, MI 48838
  • Reassigned Medicare billing, Michigan enrollment
  • 242 clinicians in this Medicare group
NPI 1538436852 (616) 754-2944
Newaygo County General Hospital Association
26 mi
Rural Health
230 S MAPLE ST
Grant, MI 49327
  • Reassigned Medicare billing, Michigan enrollment
  • 180 clinicians in this Medicare group
NPI 1013040492 (231) 834-5995
Pennock Hospital
29 mi
Orthopaedic Surgery
840 COOK RD
Hastings, MI 49058
  • Reassigned Medicare billing, Michigan enrollment
  • 184 clinicians in this Medicare group
NPI 1629494133 (269) 945-9520
Reed City Hospital Corporation
63 mi
Critical Access
225 N STATE ST
Reed City, MI 49677
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group
NPI 1538239892 (231) 832-7105
Memorial Medical Center Of West Michigan
78 mi
Psychiatric Unit
1 N ATKINSON DR
Ludington, MI 49431
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group
NPI 1356510259 (231) 843-2591

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo 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
$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.

Other Providers at the Same Location NPPES 13

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

MANISH KUMAR THAKUR MD
Internal Medicine (Medical Oncology)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
WENDY ANN HUNTING AGNP-C
Nurse Practitioner (Gerontology)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
YAHYA AMER IBRAHIM MD
Internal Medicine (Hematology & Oncology)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
LAUREN GULLO PA-C
Physician Assistant
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
STEPHANIE ANN DUBLIS D.O.
Internal Medicine (Hematology & Oncology)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
DR. EMERSON A LIM M.D.
Internal Medicine (Medical Oncology)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
CONAR MCCARTHY PA-C
Physician Assistant
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700
LAURA GORMAN PHD
Psychologist (Clinical)
145 MICHIGAN ST NE STE 5200
GRAND RAPIDS, MI 49503
Kent County (616) 486-6700

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 Kaleigh Fetcko-fayad's NPI number?

The NPI number for Kaleigh Fetcko-fayad is 1962906545. It was assigned to this individual provider in the NPPES registry on March 20, 2018.

Where is Kaleigh Fetcko-fayad located?

Kaleigh Fetcko-fayad practices at 145 Michigan St NE Ste 5200, Grand Rapids, MI 49503. The listed phone number is (616) 486-6700.

What is Kaleigh Fetcko-fayad's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kaleigh Fetcko-fayad enrolled in Medicare?

Yes. Kaleigh Fetcko-fayad 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.

Which organizations bill Medicare for Kaleigh Fetcko-fayad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaleigh Fetcko-fayad reassigns Medicare benefits to 6 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI), Spectrum Health United (Greenville, MI), Newaygo County General Hospital Association (Grant, MI), Pennock Hospital (Hastings, MI), Reed City Hospital Corporation (Reed City, MI) and 1 more organization, listed in the Medicare section above. Each 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 Kaleigh Fetcko-fayad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaleigh Fetcko-fayad 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 1 other insurer list Kaleigh Fetcko-fayad 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 Kaleigh Fetcko-fayad affiliated with any hospitals?

According to CMS data, Kaleigh Fetcko-fayad is affiliated with Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Kaleigh Fetcko-fayad was last updated on July 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.