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LEE PATRICK HEERINGA MD
NPI 1972869048
Pediatrics in Grand Rapids, MI

Active since April 03, 2012PECOS Enrolled
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503(616) 685-8400(616) 742-1322 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 6, 2021, Jul 11, 2016 (2 updates tracked since 2016).

About Lee Patrick Heeringa Md NPPES

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

LEE PATRICK HEERINGA MD (NPI 1972869048) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4301109096) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972869048
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLEE PATRICK HEERINGACredential: MD
Location Address730 GRANDVILLE AVE SWGrand Rapids, MI 49503-4920
Mailing Address1900 44th St SeKentwood, MI 49508-5008 · (616) 685-1808 · Fax (616) 685-8099
Phone(616) 685-8400
Fax(616) 742-1322
Sole ProprietorNo
Enumeration DateApril 3, 2012
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
NPPES CertifiedDecember 6, 2021
✔ NPI 1972869048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301109096
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
730 GRANDVILLE AVE SW, 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 (PECOS)

Lee Patrick Heeringa 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 Lee Heeringa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantage Health/Saint Mary's Medical Group
0.9 mi
Multi-Specialty
260 JEFFERSON AVE SE STE 115
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1457863565 (616) 685-3100

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

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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
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 15

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

DIANNE V STRAUSS PA-C
Physician Assistant (Medical)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 913-8400
DR. MARTIN ARAMBURU M.D.
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8400
KATHLEEN BULLER NP
Nurse Practitioner (Pediatrics)
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 913-8400
AUSTIN NELSON KUIPERS PA-C
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8400
TRINITY HEALTH - MICHIGAN
Clinic/Center (Federally Qualified Health Center (FQHC))
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8400
MRS. VALERIA GURGEL REZENDE RD,CDE
Dietitian, Registered
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8423
BRETT APPLEBACH PA-C
Physician Assistant
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8400
HEATHER ROMERO MD
Family Medicine
730 GRANDVILLE AVE SW
GRAND RAPIDS, MI 49503
Kent County (616) 685-8400

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 Lee Heeringa's NPI number?

The NPI number for Lee Heeringa is 1972869048. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Lee Heeringa located?

Lee Heeringa practices at 730 Grandville Ave SW, Grand Rapids, MI 49503. The listed phone number is (616) 685-8400.

What is Lee Heeringa's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lee Heeringa enrolled in Medicare?

Yes. Lee Heeringa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lee Heeringa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lee Heeringa 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 Lee Heeringa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lee Heeringa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company and 1 other insurer list Lee Heeringa 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 Lee Heeringa was last updated on December 6, 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.